AJMC November 24, 2025
Julia Bonavitacola, William L. Schpero, PhD Fact checked by: Maggie L. Shaw

The quick turnaround between the introduction of Medicaid work requirements and implementation could leave many states spread thin, explains William Schpero, PhD, MPhil, MPH

William Schpero, PhD, MPhil, MPH, from the Weill Cornell Graduate School of Medicine, explained that new responsibilities for state Medicaid offices will strain the system as they look toward implementing the Medicaid work requirements by 2027.

This transcript has been lightly edited for clarity; captions are auto-generated

Transcript

Could the system be stressed by the increase in paperwork related to Medicaid work requirements?

I’ve talked a lot with states that are, right now, heads-down trying to implement the systems [and] the changes they need to ensure their compliance with the law and with the...

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