Healthcare DIVE September 22, 2025
Rebecca Pifer

There’s a lot that states want the CMS to weigh in on. But given the tight rollout timeline for the controversial mandates, they shouldn’t delay.

States have until 2027 to implement work requirements in their Medicaid programs, so it might be tempting to wait for more guidance from the federal government before moving forward.

But states shouldn’t delay given the Herculean scale of the task, experts said Thursday during a meeting of the Medicaid and CHIP Payment and Access Commission, an influential group that advises Congress on Medicaid policy.

“Time is a-wasting already,” said Jessica Kahn, a partner at consultancy McKinsey who specializes in state Medicaid and social services programs.

Changes to Medicaid in the the GOP’s sweeping tax and...

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Topics: CMS, Govt Agencies, Insurance, Medicaid, States
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