Earlier this month, Cindy Beane, commissioner of the West Virginia Bureau for Medical Services, spoke before the Joint Standing Committee on Finance during interim legislative meetings. Part of that presentation focused on the increasing cost implications of the recently passed "One Big Beautiful Bill Act" for West Virginia’s Medicaid operations.
For the first time in program history, the BBB creates a work requirement for able-bodied adults in the Medicaid expansion population between 19 and 65 years old who are not caretakers or parents of children under the age of 14. This work expectation can be fulfilled with 20 hours per week of traditional employment, work training, education or community service. Exclusions to this requirement are extended to the blind, people with physical or int