STAT October 17, 2025
Isabella Cueto

Issues as basic as who is exempted are not yet resolved

BOSTON — Even as many parts of the new Medicaid work requirements remain unclear, states are beginning to feel the deadline pressure, three current and former state Medicaid directors said Thursday.

A key way President Trump’s recent tax bill aims to cut almost $1 trillion in Medicaid spending over a decade is by adding work requirements. Some states have tried to beef up eligibility requirements in the past, including during the first Trump administration. Through that process, they learned what kinks must be smoothed out in order for work requirements to go live by Jan. 1, 2027, the directors said at the STAT Summit Thursday.

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