Complex healthcare policies are often challenging to implement. That’s a reality states across the country will deal with as new Medicaid work requirements get rolled out next year.
The new federal rule, part of the Budget Reconciliation Act of 2025 (HR 1), requires adults enrolled under the Affordable Care Act (ACA) expansion of Medicaid eligibility to complete at least 80 hours per month of qualifying work or community engagement activities or meet exemption criteria to maintain their coverage starting Jan. 1.
A new Special Communication published Aug. 7 in JAMA Health Forum suggests that artificial intelligence may enhance implementation of this policy by helping state Medicaid agencies keep eligible individuals enrolled in Medicaid. Going forward, the use of AI can help states and local governments roll out and improve other healthcare policies, too.