Most Medicaid adults at risk under work rules are chronically ill, study suggests

Becker's Healthcare October 2, 2025
Mackenzie Bean

Older, medically complex Medicaid beneficiaries are among those most at risk of losing coverage due to work requirements, according to a study published Oct. 1 in JAMA.

A team led by researchers at Yale University in New Haven, Conn., used a cross-sectional analysis of 2017–23 National Health and Nutrition Examination Survey data to identify Medicaid adults at risk of disenrollment under HR 1’s work requirements, examining their demographic, socioeconomic and clinical characteristics.

The work rules, part of President Donlad Trump’s One Big Beautiful Bill Act, require individuals ages 19-64 to work at least 80 hours per month...

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