Work reporting requirements do not promote employment. In addition to imposing punitive work requirements, HR1 includes provisions that harm immigrants. Further, due to fear and confusion, some eligible immigrants will also lose coverage, which will exacerbate racial inequities in health coverage. Engage trusted community partners to conduct targeted outreach and provide support as work requirements are developed and implemented. Invest in new coverage solutions for people who lose access to Medicaid or are priced out of Access Health due to HR1.