Administrator warns federal grant rule and Medicaid changes could affect county programs

Oct 20, 2026

Administrator Adamson briefed the board on proposed OMB rule changes and federal Medicaid policy shifts, including work requirements and increased redetermination frequency; she said roughly 9,782 McHenry County residents could be affected by the new work requirements under changes discussed.

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Administrator Adamson told the board that several federal changes are under consideration that could affect how grants are structured and how Medicaid eligibility is administered.

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