Medical Xpress September 30, 2025
British Medical Journal

The introduction of work requirements for certain adults enrolled in the US health insurance program Medicaid has so far failed to boost insurance coverage or employment rates, finds a study published by The BMJ today.

It shows that and employment did not increase after Georgia implemented Medicaid expansion with work requirements. Work requirements are due to be rolled out across the US in 2026 as part of the “One Big Beautiful Bill Act.”

Georgia was the first state to expand Medicaid with work requirements under the Pathways to Coverage program in 2023, but little is known about the impact of this approach on insurance coverage rates and employment.

To find out, researchers drew on data for 17,451...

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