Christopher Rowland's New York Times article reports that hospitals nationwide are mobilizing outreach — texts, calls, and volunteer help — to keep roughly 19 million patients insured under Medicaid work rules taking effect in January 2027, requiring 80 hours a month of work, volunteering, or schooling. Early adopters offer a preview: Nebraska's approvals fell 25 percent after its May 2026 rollout, with 90 percent of denials blamed on paperwork, while the Congressional Budget Office projects more than five million people will lose coverage by 2034, and Democrats taking Congress in 2027 lack the votes to roll back the cuts without Republican deal-making.