On January 1, new Medicaid work requirements will kick in nationwide, and states are scrambling to comply—a chaotic process which will lead to millions of people losing health care access.

Many states are paying third-party contractors millions to design and operate systems to determine which Americans remain eligible under the new law. And some of the biggest corporations getting those contracts, according to a new report by members of the Senate Finance Committee, have a track record of “administrative and procedural failures.”

Sens. Ron Wyden, (D-Ore.), Elizabeth Warren, (D-Mass.), and Raphael Warnock, (D-Ga.), today released an interim report on five tech companies that contract with state Medicaid programs. Those companies—Maximus, Gainwell, General Dynamics, Conduent, and Deloitte—now stand to make millions of dollars implementing Medicaid work requirements, the report finds, under which millions of Americans are likely to lose their health insurance.

In June, the Centers for Medicare and Medicaid Services released its interim final rule on Medicaid work requirements, mandating that “medically frail” Medicaid patients regularly prove they are unable to work full-time, even if they have already been diagnosed with a debilitating condition and were previously enrolled in Medicaid. Able-bodied recipients under 64 will have to prove at least 80 hours a month of work or other qualifying activities to avoid losing their coverage.

“These are not people who failed to qualify—they are eligible Americans who will be stripped of coverage because........

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