HEALTH AFFAIRS: Implementing Medicaid Work Reporting Requirements: Defining A ‘Serious Or Complex Medical Condition’
The One Big Beautiful Bill Act requires Medicaid expansion states to implement work reporting requirements starting January 2027, with the The Congressional Budget Office estimates over five million people will lose coverage by 2034. The law includes a "medically frail" exemption for those with "serious or complex medical conditions"—broadening previous "serious and complex" language to give states more flexibility.
