KFF February 4, 2025
Work requirements in Medicaid have resurfaced as part of a broader legislative package of potential changes to Medicaid designed to significantly reduce federal Medicaid spending. A draft budget outline from Congressional Republicans includes requiring Medicaid enrollees to work or look for work as a condition of receiving coverage. While the details of the current proposal are not yet available, an analysis of an earlier proposal by the Congressional Budget Office shows that Medicaid enrollment would drop and that federal spending on Medicaid would be reduced substantially, but that the policy would not increase employment.
Data show the majority of Medicaid enrollees are working. The first Trump administration encouraged states to apply for Section 1115 waivers that included work and reporting...
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