Cash-strapped states brace for costly Medicaid work requirements
States expanding Medicaid say implementing the federal work requirements by the 2027 deadline will require tens of millions for new staff, overtime, and IT system upgrades, with limited federal help to cover costs. Nebraska has already begun enforcing the rules, while others weigh substantial ongoing expenses and potential cuts to other services as Republicans argue the policy could yield long-term savings despite limited near-term relief.







