Medical Xpress October 7, 2025
Phil Galewitz

Millions of Medicaid enrollees may have a way out of the new federal work requirement—if they live in a county with high unemployment.

By January 2027, President Donald Trump’s far-reaching domestic policy law will require many adult, nondisabled Medicaid enrollees in 42 states and Washington, D.C., to work or volunteer 80 hours a month or go to school.

But under the law, Medicaid enrollees in counties where unemployment is at least 8% or 1.5 times the national could be shielded from the work requirement, if their state applies for an exemption.

A new analysis by KFF shows that exemption in the GOP’s work requirement could offer a reprieve to potentially millions of Americans caught in a tough spot—needing...

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