{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T22:26:51Z","timestamp":1792276011190,"version":"4.4.0"},"reference-count":7,"publisher":"American Medical Association (AMA)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Intern Med"],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>This Viewpoint argues for the medical profession and the states now designing implementation of Medicaid work requirements to incorporate 3 design choices that could positively shape how exemption certification works in practice.<\/jats:p>","DOI":"10.1001\/jamainternmed.2026.2518","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T15:00:27Z","timestamp":1783954827000},"page":"1053","source":"Crossref","is-referenced-by-count":3,"title":["Medicaid Work Requirements\u2014The Physician as Arbiter"],"prefix":"10.1001","volume":"186","author":[{"given":"Henry","family":"Bair","sequence":"first","affiliation":[{"name":"Wills Eye Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"10","key":"ivp260012r4","doi-asserted-by":"publisher","DOI":"10.1001\/jamahealthforum.2021.2932","article-title":"Variability in primary care physician attitudes toward Medicaid work requirement exemption requests made by patients with depression.","volume":"2","author":"Schmidt","year":"2021","journal-title":"JAMA Health Forum"},{"issue":"9","key":"ivp260012r7","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1377\/hlthaff.2020.00538","article-title":"Medicaid work requirements in Arkansas: two-year impacts on coverage, employment, and affordability of care.","volume":"39","author":"Sommers","year":"2020","journal-title":"Health Aff (Millwood)"},{"key":"ivp260012r1","unstructured":"HR 1, Public Law No. 119-21. Accessed June 9, 2026. https:\/\/www.congress.gov\/bill\/119th-congress\/house-bill\/1"},{"key":"ivp260012r2","unstructured":"Hinton? E, Diana? A, Rudowitz? R; KFF. A closer look at the work requirement provisions in the 2025 federal budget reconciliation law. Published July 30, 2025. Accessed February 18, 2026. https:\/\/www.kff.org\/medicaid\/a-closer-look-at-the-work-requirement-provisions-in-the-2025-federal-budget-reconciliation-law\/"},{"key":"ivp260012r3","unstructured":"Counts? N; Commonwealth Fund. How will states implement the behavioral health exemption to Medicaid work requirements? Published November 21, 2025. Accessed February 18, 2026. https:\/\/www.commonwealthfund.org\/blog\/2025\/how-will-states-implement-behavioral-health-exemption-medicaid-work-requirements"},{"key":"ivp260012r5","unstructured":"Substance Abuse and Mental Health Services Administration. Key substance use and mental health indicators in the United States: results from the 2023 national survey on drug use and health. Accessed June 9, 2026. https:\/\/www.samhsa.gov\/data\/sites\/default\/files\/reports\/rpt47095\/National%20Report\/National%20Report\/2023-nsduh-annual-national.pdf"},{"key":"ivp260012r6","unstructured":"Association of American Medical Colleges. The complexities of physician supply and demand: projections from 2021 to 2036. Published March 2024. Accessed June 9, 2026. https:\/\/www.aamc.org\/media\/75236\/download"}],"container-title":["JAMA Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/articlepdf\/2851376\/jamainternal_bair_2026_vp_260012_1788184601.24362.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T15:01:21Z","timestamp":1788879681000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2851376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamainternmed.2026.2518","relation":{},"ISSN":["2168-6106"],"issn-type":[{"value":"2168-6106","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9,1]]}}}