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Civilla Report Summary: Human-Centered Work Requirements for Medicaid

Executive Summary

This Civilla report provides evidence-based recommendations for states implementing Medicaid work requirements under H.R. 1, which takes effect January 1, 2026. The requirements will affect nearly 20 million Medicaid recipients and mandate 80 hours per month of qualifying activities (work, community service, or education) or documented exemptions.

The Challenge

The Stakes:

  • Millions could lose Medicaid coverage if states underestimate the communication and design challenge
import React, { Component } from "react";
import Fish from "./Fish";
import Header from "./Header";
import Order from "./Order";
import Inventory from "./Inventory";
import sampleFishes from "../sample-fishes"
import base from "../base";
class App extends Component {
state = {
[root@prod-mongo-00 ~]# yum install munin
Loaded plugins: fastestmirror, security
Loading mirror speeds from cached hostfile
* epel: mirror.symnds.com
amzn | 2.1 kB 00:00
Setting up Install Process
Resolving Dependencies
--> Running transaction check
---> Package munin.noarch 0:1.4.5-5.el5 set to be updated
--> Processing Dependency: munin-common = 1.4.5 for package: munin-1.4.5-5.el5.noarch
$ rubocop config/initializers/sorcery.rb
Inspecting 1 file
C
Offenses:
config/initializers/sorcery.rb:2:81: C: Metrics/LineLength: Line is too long. [99/80]
# The default is nothing which will include only core features (password encryption, login/logout).
^^^^^^^^^^^^^^^^^^^
config/initializers/sorcery.rb:4:81: C: Metrics/LineLength: Line is too long. [90/80]
$ cap rubber:create_staging
triggering load callbacks
* 2017-07-26 22:33:04 executing `rubber:init'
** Auto role: web => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
** Auto role: haproxy => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
** Auto role: app => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
** Auto role: passenger_nginx => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
** Auto role: db => prod-king2.peltabeta.com, {:primary=>true, :platform=>"linux", :provider=>"aws"}
** Auto role: mysql => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
** Auto role: mysql_master => prod-king2.peltabeta.com, {:platform=>"linux", :provider=>"aws"}
⇒ npm run serve
> policynet@1.0.0 serve /Users/kimball/lii/docker_policynet/policynet
> gulp serve:dist
[14:04:48] Using gulpfile ~/lii/docker_policynet/policynet/gulpfile.js
[14:04:48] Starting 'scripts'...
[14:04:48] Starting 'styles'...
[14:04:49] Starting 'partials'...
[14:04:49] Starting 'fonts'...
Uncaught TypeError: e.module(...).info is not a function
at vendor-6fa973a1e8.js:50
at vendor-6fa973a1e8.js:50
app-95fa1aa75d.js:1 Uncaught ReferenceError: toastr is not defined
at app-95fa1aa75d.js:1
at app-95fa1aa75d.js:1
vendor-6fa973a1e8.js:32 Uncaught Error: [$injector:modulerr] Failed to instantiate module policynet due to:
Error: [$injector:modulerr] Failed to instantiate module md.data.table due to:
Error: [$injector:nomod] Module 'md.data.table' is not available! You either misspelled the module name or forgot to load it. If registering a module ensure that you specify the dependencies as the second argument.
http://errors.angularjs.org/1.5.11/$injector/nomod?p0=md.data.table
⇒ npm run serve
> policynet@1.0.0 serve /Users/kimball/lii/docker_policynet/policynet
> gulp serve:dist
[16:04:29] Using gulpfile ~/lii/docker_policynet/policynet/gulpfile.js
[16:04:29] Starting 'scripts'...
[16:04:30] Starting 'styles'...
[16:04:31] Starting 'partials'...
[16:04:32] Starting 'fonts'...
// Create resources
//USING PERIODIC COMMIT
LOAD CSV WITH HEADERS FROM "file:avon_test_tables_Resources.csv" AS row
CREATE (:Resource {nameOrTitle: row.NameOrTitle, topic: row.Topic, type: row.Type, summary: row.Summary, keywords: row.Keywords, URL: row.URL, year: row.Year})
// Create topics
USING PERIODIC COMMIT
LOAD CSV WITH HEADERS FROM "file:///data.csv" AS row
CREATE (:Topic {title: row.Topic, id: row.TopicID})
diff --git a/Gemfile b/Gemfile
index 11793bd..661bcee 100644
--- a/Gemfile
+++ b/Gemfile
@@ -27,6 +27,7 @@ gem "devise"
gem "omniauth"
gem "aasm"
gem "baby_squeel"
+gem "rails_admin", "1.1.1"