First Implementation Data: Work Requirements Squeezing Health Centers — Bluestem Health Faces $600K Loss, Vermont Clinic $3M

Governing.com reports the first real-world impact data from work requirements implementation. Bluestem Health in Nebraska faces $600K annual revenue loss. A Vermont clinic projects $3M in lost revenue. Health centers are legally required to serve all patients regardless of ability to pay, creating a financial death spiral: lost Medicaid revenue but increased uninsured demand. Of 33M national health center patients, approximately half are on Medicaid.