And welcome, Tiffany.

Hi, good morning, all.

Let's go ahead and start with what I'd like to talk about specifically, the Medicaid work requirements.

So CMS recently issued an interim final rule with comment, CMS 2454 IFC.

This is implementing Medicaid community engagement requirement.

This was established under public law 119-21 and referred to by CMS as the Working Families Tax Cut.

Beginning no later than January 1, 2027, certain adults ages 19 through 64 will be required to complete at least 80 hours per month of qualifying activities, including employment, education, job training, or community service as a condition of their Medicaid eligibility.