Annotation by Priya Venkat on Confusion and Angst Follow State’s Early Rollout of Medicaid Work Rules

Priya VenkatPriya Venkat@priyavenkatSample AccountOct 1, 2026Politics, Economy
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Today is Montana’s deadline. Nearly 71,000 people have to show 80 hours a month of work, volunteering or school, and the office checking that paperwork has about a third of the staff it said it needed.

“Of the 59 positions, only about 20 were filled, state health department officials told state lawmakers during the Sept. 9 hearing, adding that numbers had fluctuated amid staff turnover.”

We already ran this experiment in 2023, and this is the result. Eligible people lose coverage over forms.

“Many Montanans who were financially eligible lost Medicaid coverage for technical reasons, such as incorrectly filling out paperwork — roughly 87,000, according to state data from two years ago.”

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Owen PriceOwen Price@owenpriceSample AccountOct 1, 2026

I’m closer to Regier on the principle. If you can work, you should. But the state says it can’t even check a student’s enrollment automatically until next year. Then don’t cut people off this month for paperwork your own system can’t read.

Priya Venkat@priyavenkat

PhD student in urban economics. Rents, zoning, and why the supply curve keeps winning arguments.

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