He built Michigan's Medicaid work requirement system. Now he's warning other states

An attendee holds a "Stop The Health Care Cuts" sign on June 6 at a Democratic town hall in Lansing, Mich. In July, Congressional Democrats failed to stop Republicans from passing a tax-and-spending bill that requires 40 states and D.C. to institute Medicaid work requirements.

Michigan's health director spent a year and $30 million building a work requirements system for Medicaid. The problems he encountered have him worried now that 40 states must do the same by 2027.

(Image credit: Emily Elconin)