Government Accountability OfficeCMS has challenged the GAO's report on Medicaid workrequirements, saying that GAO based its findings on just a fewstates and didn't determine whether CMS would allow thecosts.

Some states have been eager to impose work requirements onpeople who get Medicaid, but thanks to a complete lack ofrequirements for cost projections, implementation of workrequirements is costing hundreds of millions ofdollars—not just inconsistent with federal control standards, butunder a complete lack of transparency.

And, according to a newreport from the Government Accounting Office, thecosts don't include all planned expenditures.

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.