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Sites across 4 districts: KY-04, KY-05, KY-06, OH-02
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Kentucky's expansion population and FQHC Medicaid revenue.
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