Congress’ ‘big beautiful’ bill proposes new Medicaid work requirements

Congress' 'big beautiful' bill proposes new Medicaid work requirements

American flags are displayed on the lawn of the National Mall with the U.S. Capitol Building in the background on June 2, 2025, in Washington, D.C.

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according to KFF.  

“Many people on Medicaid, if they’re able to, are already working,” said Robin Rudowitz, director of the program on Medicaid and the uninsured at KFF.

However, some states may implement work requirements if they receive approval through waivers. Georgia is currently the only state with a Medicaid work requirement. “Several” other states have recently submitted waiver requests to put such requirements in place, according to KFF.

Arkansas previously implemented Medicaid work requirements. However, estimates have shown while more people became uninsured because of that policy, there were not meaningful increases in employment, according to Rudowitz.

Eligibility redeterminations would be conducted at least twice per year to ensure enrollees still meet those requirements.

The Senate version proposes capping the look-back period for showing compliance with work requirements to three months, which on net may be helpful to people, Orris said.

If an individual is denied coverage or disenrolled because they do not meet the Medicaid work requirements, they would be ineligible for subsidized marketplace coverage.

The Senate bill also allows for a longer timeline for states to comply with the Medicaid work requirements. The chamber’s bill would give states the ability to ask for a good faith waiver that would give them an additional two years to come into compliance with the provision, or until the end of 2028, rather than the end of 2026 in the House version.

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