KFF April 24, 2023
While data show that the majority of Medicaid enrollees are working, there has been long-standing debate about imposing work requirements in Medicaid. For the first time in the history of the Medicaid program, the Trump Administration approved Section 1115 waivers that included work and reporting requirements as a condition of Medicaid eligibility in some states. However, courts struck down many of these requirements and the Biden Administration withdrew these provisions in all states that had approvals. Arkansas was the only state to implement Medicaid work requirements with consequences for noncompliance.
Work requirements are now back on the agenda as some Congressional Republicans have indicated that they will rely on a budget outline that would require Medicaid enrollees to work, or...