Trump issues final rule requiring most Medicaid beneficiaries to work
Most adults on Medicaid must meet 80 monthly hours of work, school or volunteer activity, while states get flexibility on exemptions.
- On Monday, CMS released guidance implementing new Medicaid work requirements effective Jan. 1, 2027, requiring many adults to work, attend school, or volunteer 80 hours monthly to maintain coverage under President Donald Trump's policy.
- The Trump administration claims the policy encourages job growth, citing National Bureau and Economic Research data showing Americans work fewer hours than in previous decades. Officials argue existing benefits reduce employment incentives.
- Pregnant women, veterans, and those deemed "medically frail" receive exemptions. CMS administrator Dr. Mehmet Oz stated, "We're forgiving, but we're not foolish," noting the policy targets problem areas compassionately.
- During the first year, enrollees can self-attest to exemption qualifications without documentation. Officials set a 2028 deadline for States to build verification systems using claims data and records.
- A KFF report projects about 5 million people could lose coverage by 2034 due to administrative hurdles rather than employment status. Larry Levitt of KFF cited Nebraska's nearly 300-page medical code list as evidence of implementation complexity.
101 Articles
101 Articles
CMS implements new work requirements for Medicaid enrollees
CMS has issued an interim final rule that implements new work requirements for adults on Medicaid.The new statutory requirement will apply to adults who are aged 19 to 64, not pregnant and “enrolled in the Medicaid adult group or in certain section 1115 demonstrations that provide minimum essential coverage to adult beneficiaries,” according to a CMS fact sheet. As of now, 43 states
Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems
The Trump administration’s rollout of a federal mandate that millions of Americans on Medicaid must work or risk losing health benefits will force states to scrap months of preparation, according to advocates for Medicaid enrollees and consultants advising states. And they say an overhaul — less than seven months before states must start enforcing the requirement — will be costly. Regulations issued June 1 by the Centers for Medicare & Medicaid …
People with cancer or HIV could lose Medicaid under new work rules, advocates say
Adults on Medicaid will be required to work 80 hours per month. The Trump administration says people who are sick will have to prove they are too sick to work to be exempt from the new work rules.
5 takeaways on Trump's divisive Medicaid work requirements
A new rule explaining how states need to implement Medicaid work requirements may make it much harder for low-income sick people to maintain health coverage next year. The long-anticipated rule issued Monday is meant to guide 42 states and the District of Columbia in carrying out the work rules implemented by the One Big Beautiful Bill Act. GOP lawmakers and [...]
Coverage Details
Bias Distribution
- 59% of the sources lean Left
Factuality
To view factuality data please Upgrade to Premium
