Medical Xpress October 31, 2025
University of Michigan

Recent federal legislation requires the 40 states that have expanded Medicaid under the Affordable Care Act to start implementing work requirements in their Medicaid programs by January 2027.

But a new University of Michigan study suggests that those requirements may work against their intended purpose.

The requirements mean people with low incomes will need to prove they’re working, or have a specific reason not to work, in order to keep their Medicaid health coverage. If they do not meet deadlines or submit the right information, they could lose their coverage for health care.

But the new study shows that Medicaid coverage itself is associated with employment gains among those least likely to have jobs: people with both low incomes and...

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