Health Affairs January 12, 2026
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analysis of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress.
Tying Medicaid eligibility to work reporting is a centerpiece of the One Big Beautiful Bill Act (OBBBA). The impact of work reporting as a condition of eligibility, which all Affordable Care Act Medicaid expansion states must implement, is expected to be profound: CBO estimates that by 2034 more than five million people will lose Medicaid and nearly all will be left completely uninsured....
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