A recent article in The Baltimore Sun highlighted how Medicaid work requirements have always caused problems and denied coverage to eligible people ( “He built Michigan’s Medicaid work requirement system. Now he’s warning other states,” Sept. 9). The inclusion of a similar initiative in the “One Big, Beautiful Bill” will harm our behavioral health system and the people who depend on it.

The law mandates all states to implement a work requirement by Dec. 31, 2026. Single adults enrolled in Medicaid will have to prove they are working at least 80 hours per month as a condition of eligibility. Enrollees can also meet the requirement through educational programming or community service and some may qualify for an exemption. To meet these requirements, enrollees will need to submit the requi

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