AJMC November 8, 2025
Julia Bonavitacola, William L. Schpero, PhD

The introduction of more stringent work requirements for those enrolling or renewing their Medicaid coverage can affect both children and adults.

The One Big Beautiful Bill Act (OBBBA) introduced a new aspect of enrolling or renewing Medicaid coverage across the nation, as those living in Medicaid expansion states will need to prove at least twice per year that they are meeting the 80-hour-per-month work requirement. William Schpero, PhD, MPhil, MPH, assistant professor of Population Health Sciences at Weill Cornell Medicine, spoke about how this will affect adults and children across the country.

This transcript has been lightly edited.

The OBBBA included changes to Medicaid enrollment, including adjusting work requirements to stay on Medicaid. What are the biggest changes in the...

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