Study on Medicaid Work Requirements Finds No Gains in Insurance, Employment

MedPage Today October 1, 2025
Shannon Firth

State-level findings from Georgia may predict nationwide rollout

Key Takeaways

• Georgia’s Medicaid expansion program with work requirements did not increase insurance coverage over the first 15 months.
• The program also failed to increase employment in the state.
• The findings are especially relevant, given that Congress recently issued the first federal mandated work requirement for Medicaid enrollees slated for implementation in 2026.

Work requirements enacted as part of a Medicaid expansion program in Georgia did not increase insurance coverage or employment relative to neighboring states that did not expand Medicaid, a quasi-experimental difference-in-differences study suggested.

Following the implementation of Georgia’s Pathways to Coverage program, which expanded Medicaid with work requirements, there was no differential change in coverage in the...

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