Hanover CSB flags budget strain as H.R.1 Medicaid redetermination could cut coverage for hundreds

Oct 19, 2026

The Hanover County Community Services Board warned that proposed H.R.1 changes to Medicaid redetermination and work requirements could shift care costs to the county; staff report 381 clients in affected programs had Medicaid in October 2026, including 139 in the Medicaid expansion group.

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The Hanover County Community Services Board packet said changes proposed under H.R.1 to Medicaid redetermination and work requirements could push more residents into county-funded care.

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