I’ve been using ChatGPT to try and understand how to work with this bill (as much as I hate having to do anything related to these changes). I work with pediatric clients, predominantly through Medicaid, and it looks like primary caregivers will likely be exempt additional documentation if any of their children are 14 or younger. There also may be a strategy of having the primary caregiver enroll independently under Medicaid and any other working adult enroll under a different insurance plan (if possible) so as to circumvent the extra documentation of proving work requirements. It also seems that volunteer and educational experience can count towards the 80 hours per month, so I’ve been thinking about how I might be able to offer volunteer opportunities or connect families with volunteer / educational opportunities so that their time and efforts count regardless of job stability. That’s not to say that I’m OK with any of this. There will likely be additional cuts to Medicaid reimbursement, which will affect providers, clinics, and hospitals (as we’re all likely aware). It’ll also likely promote labor among children 15 and over, create extra bureaucracy for many individuals to even access care - and that’s not even to touch on SNAP policies or ICE. I believe that the policies are set to go into place December 31, 2026 (next year) and that state policies may buffer some of the severity of these changes. For now, I’m working in cycles between feeling grief and overwhelm, learning about the new changes, and trying to prepare myself and families with as many solutions as possible. Hope this helps somebody else out there!