Under the federal budget bill recently signed into law, states must implement work requirements in their Medicaid expansion programs by 2029. Some coverage losses can be expected when those work requirements take effect, but other provisions in the budget bill will have more immediate impacts on the Health Insurance Marketplace. In a guest column for Talk Business & Politics, ACHI Interim President and CEO Craig Wilson discusses how the budget law will impact the marketplace and the more than 150,000 Arkansans who depend on it for access to coverage and care.