The administration says new Medicaid work rules will save money, but first, states will spend a lot figuring out how to make them work episode artwork

EPISODE · Mar 31, 2026 · 9 MIN

The administration says new Medicaid work rules will save money, but first, states will spend a lot figuring out how to make them work

from The Federal Drive with Terry Gerton

As the new work‑requirement mandates roll out, states are confronting a costly truth: their eligibility systems weren’t built for this level of verification. Upgrades, contractors and extra staff could push total costs past a billion dollars before a single dollar in federal savings is realized. We get the ground‑level view from AP’s David Lieb.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

As the new work‑requirement mandates roll out, states are confronting a costly truth: their eligibility systems weren’t built for this level of verification. Upgrades, contractors and extra staff could push total costs past a billion dollars before a single dollar in federal savings is realized. We get the ground‑level view from AP’s David Lieb. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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The administration says new Medicaid work rules will save money, but first, states will spend a lot figuring out how to make them work

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This episode was published on March 31, 2026.

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As the new work‑requirement mandates roll out, states are confronting a costly truth: their eligibility systems weren’t built for this level of verification. Upgrades, contractors and extra staff could push total costs past a billion dollars before...

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