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NBC News Health

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Medicaid Work Requirements Set to Begin in 2027, CBO Projects Coverage Losses

New federally mandated Medicaid work requirements are scheduled to take effect at the start of 2027, and the nonpartisan Congressional Budget Office estimates the changes could leave 8 million more people nationally without health insurance. Patients and caregivers are voicing concern about how the requirements will affect their coverage and access to care. NBC News reports on these concerns ahead of implementation. State Medicaid agencies and beneficiaries have roughly a year to prepare for eligibility verification and enrollment changes.

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Federal Policy·11d ago

Federal Medicaid Work Requirements Take Effect January 1, 2027

New federal work and reporting requirements for Medicaid take effect January 1, 2027, affecting millions of beneficiaries nationwide. States are preparing to implement the requirements, which represent a significant programmatic change. Beneficiaries who do not meet work or reporting requirements risk coverage loss. The requirements mark the first nationwide mandatory work requirements in Medicaid's history.

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State Policy·NE·25d ago

Nebraska Cuts Medicaid Funding for 900 Developmentally Disabled Using Algorithm

Nebraska has reduced Medicaid funding for nearly 900 people with developmental disabilities after implementing an algorithm-based eligibility determination system. The cuts affect individuals receiving long-term services and supports through the state's Medicaid program. Families report that the state is removing vital funding without clear explanation of how the algorithm calculates need or eligibility. The action raises questions about the use of automated systems in Medicaid eligibility and benefit determinations, particularly for vulnerable populations requiring intensive services.

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Federal Policy·76d ago

NBC News Seeks Sources on Medicaid Work Requirement Implementation Effects

NBC News is soliciting interviews with Medicaid beneficiaries, providers, and advocates regarding impacts of newly implemented Medicaid work requirements. The outlet is gathering first-hand accounts of how work mandates are affecting access to coverage and care delivery. This follows federal approval of state Section 1115 waivers authorizing work and community engagement requirements as a condition of Medicaid eligibility. The solicitation indicates work requirements are now actively in effect in at least some states, triggering coverage losses or administrative burdens for beneficiaries and compliance obligations for managed care plans.

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Federal Policy·87d ago

Medicaid and ACA Enrollment Drops 5 Million in 12 Months

Medicaid and Affordable Care Act marketplace enrollment declined by more than 5 million individuals over the past year, according to a new report. The decline is attributed to federal Medicaid funding cuts implemented under the Trump administration and the expiration of enhanced ACA premium subsidies. The enrollment losses affect both traditional Medicaid populations and marketplace coverage, with implications for managed care organizations' membership and revenue projections. The timing and scope of these reductions represent a significant shift in coverage patterns following the post-pandemic enrollment peak.

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