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A new federal law requires Medicaid service providers to clock in and out to track time and location when they serve clients. The policy is intended to prevent fraud but it’s causing privacy concerns in other states.

Poor people with unsteady incomes are held to a different standard than those who make a consistent amount each month. The net result is that some low-wage seasonal employees are shut out of the Oregon Health Plan, the state’s Medicaid program for the poor.