Eternally grateful for my USDS colleagues that drove around the country in a van with me for the most exhausting and fulfilling year of my life ❤️

The CBO estimates that 5M people will lose their Medicaid as work requirements take effect.

States must build in-house tech capacity now to protect their enrollees through the coming crisis and beyond.

The challenge ahead is enormous and states need the capacity to meet the moment.

Our bet paid off - across red and blue states representing over 40% of the nation's Medicaid population, we doubled automatic renewal rates and halved the number of people losing coverage for procedural and paperwork reasons.

Quietly across the country, millions of people kept their health care.

We set out to tackle this problem head on by showing up in communities across the country and automating Medicaid renewals wherever we could.

We made a big bet that directly providing technical capacity to state governments in a crisis could move the needle.

After the pandemic emergency ended in 2023, millions were at risk of losing their healthcare not because they were ineligible, but because of infuriating paperwork and broken systems.

Today, work requirements threaten to make the situation even worse for millions of Americans.

Also, if this continues we’re cooked 👇We can and must build alternatives that don’t rely on private data brokers.