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Norfolk health director: Medicaid changes threaten coverage for tens of thousands; city forming work group

Norfolk City Council · November 19, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Dr. Susan Gerard told the Norfolk City Council that about 71,748 residents receive Medicaid benefits and that proposed federal changes (shorter renewals, an 80-hour work requirement, new copays, and expiring ACA premium subsidies) could put thousands at risk of losing coverage; the city will form a multi-agency work group to mitigate impacts.

Dr. Susan Gerard, district health director for the Norfolk Health District, told the City Council on Nov. 18 that 71,748 Norfolk residents — roughly one-third of the city’s population, according to her presentation — currently receive some form of Medicaid benefits and face multiple federal and marketplace changes that could reduce coverage and increase strain on local safety-net services.

"71748 people in Norfolk receive some sort of Medicaid benefits," Gerard said, and she outlined three principal changes she said will affect enrollees: shortening redetermination windows from annual to every six months; an 80-hour-per-month work or community engagement requirement for many adults; and new cost-sharing of up to $35 for some…

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