Comunilife 2026 Symposium

H.R.1, the “One Big Beautiful Bill Act,” represents one of the most significant Medicaid policy changes in recent history, mandating community engagement (work) requirements for many Medicaid expansion enrollees nationwide beginning in 2027. Congressional Budget Office projections and prior state experiences indicate that these requirements could result in substantial coverage losses driven largely by administrative complexity rather than changes in employment.

This symposium will provide a research informed, nonpartisan forum to examine the anticipated effects of Medicaid work requirements on coverage, health equity, and system performance. Drawing on federal guidance, state implementation examples, and peer reviewed evidence, the convening will explore how policy design and implementation choices shape outcomes for individuals and health systems—and what lessons can inform future Medicaid reform efforts.

Comunilife is pleased to welcome Dr. James V. McDonald M.D., M.P.H. as our keynote speaker. Dr. James McDonald was appointed Acting Commissioner of Health January 1, 2023 and confirmed by the Senate June 9, 2023. Prior to joining the New York State Department of Health in July of 2022, Dr. McDonald served at the Rhode Island Department of Health since 2012.

At the Rhode Island Department of Health, he served in multiple roles including, Interim Director of Health, Chief Administrative Officer of the Board of Medical Licensure and Discipline, Medical Director for the COVID unit, as well as the Medical Director for Division of Health care quality and safety and the Drug Overdose prevention program. He was also a member of the Governor's task force on Preventing Overdose deaths. Dr. McDonald has a faculty appointment at the UAlbany School of Public Health as well as Brown School of Public Health.

Symposium Overview

Agenda

Keynote Address

Panel 1

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Panel 2

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