In May, when Virginia’s General Assembly passed a budget that includes expanding the state’s Medicaid program, Lisa Coles’ daughter came running into her bedroom, ecstatic. “Now we pass it around to everybody: ‘Don’t forget, we have to apply for health insurance,’” Coles said. The second is setting up the work requirements and cost-sharing provisions that were outlined in the state budget. Actually putting the work requirements into practice, though, could take much longer. About 100,000 people enrolled in individual health insurance marketplace plans who will now be eligible for Medicaid will also require outreach.