Becker's Healthcare March 18, 2025
Alan Condon

The potential implementation of federal Medicaid work requirements poses a serious threat to healthcare access for millions of Americans.

An analysis published March 17 by the Urban Institute by the Urban Institute and the Robert Wood Johnson Foundation warns that up to 5 million adults could lose their Medicaid coverage by 2026 — not because they fail to meet work criteria, but due to bureaucratic hurdles and reporting challenges.

With hospitals and health systems already grappling with financial pressures, this policy shift could further strain emergency departments, disrupt continuity of care and exacerbate health disparities, particularly in rural and underserved communities.

“Work requirements are a blunt tool that creates costly administrative red tape and separates eligible people...

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