Administrative Burden

Individuals are required to work, train for a job, or volunteer at least twenty hours a week. The challenge is documenting this participation. Ten regional workforce boards are tasked with monitoring compliance. 73 People will be required to upload the necessary documentation to verify their activities. But 30 percent of low-income adults most likely to be on Medicaid report they never use a computer, 28 percent say they do not use the internet, and 41 percent do not use email. 74 It is unrealistic to expect that such a population will have the technological literacy to navigate online documentation processes.