When do the new Medicaid work requirements go into effect?

The new Medicaid work requirements are set to go into effect in January 2027.

Who is most likely to be impacted by Medicaid work rule changes?

Adults aged 50 to 64, particularly women, are expected to be disproportionately affected by the new Medicaid work rules.

What is the stated goal of the Medicaid work requirements?

The stated goal of the Medicaid work requirements is to ensure the program's long-term sustainability and safeguard it for the vulnerable.

Home / Health / Medicaid Work Rules Threaten Millions: Caregivers at Risk

Medicaid Work Rules Threaten Millions: Caregivers at Risk

11 Feb

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Summary

Millions of low-income Americans must meet work requirements for Medicaid.
Adults ages 50-64, especially women, face significant coverage loss risks.
New rules aim to ensure Medicaid sustainability by cutting enrollment.

Medicaid Work Rules Threaten Millions: Caregivers at Risk

Starting in January 2027, approximately 20 million low-income Americans across 42 states and Washington D.C. must meet monthly activity requirements to retain Medicaid health coverage. This measure, part of a larger budget law, is predicted by the Congressional Budget Office to reduce Medicaid enrollment by at least 5 million over the next decade. The law primarily targets "able-bodied adults," with exemptions for individuals with disabilities, caregivers, and those facing medical hardship.

However, experts warn that adults aged 50 to 64, especially women, are likely to be most impacted. Many in this demographic serve as family caregivers or manage chronic illnesses, making it difficult to meet the 80-hour monthly work quota. Research indicates only 8% of the total Medicaid population fits the "able-bodied" and unemployed criteria, with a significant portion being older women acting as caretakers.