Republicans Want to Add Work Requirements to Medicaid. Even some Recipients with Jobs Are Concerned
- A bill passed the House in late May 2025 that would require many Medicaid expansion enrollees aged 19 to 64 to work, volunteer, attend school, or train for 80 hours monthly to keep coverage.
- Republicans aim to impose work requirements as part of tax and spending cuts to fulfill President Trump's agenda despite some earlier Medicaid work mandates being blocked by courts.
- The Congressional Budget Office estimates about 4.8 million Medicaid recipients could become uninsured over 10 years due to the mandate, and many enrollees already work or qualify for exemptions like illness or caregiving.
- Joanna Parker, a 40-year-old Medicaid recipient from North Carolina who works part-time while managing degenerative disc disease, is concerned about potentially losing her coverage due to difficulties with reporting requirements, explaining that without Medicaid, she would struggle to maintain employment.
- The Senate will review the bill next, and while supporters argue it encourages employment and reduces spending, many beneficiaries and advocates warn that red tape and complexity could cause significant coverage loss.
21 Articles
21 Articles

Medicaid work rules could leave a million Californians with no health insurance
In summary A proposal in Congress would require some adults to document 80 hours a month of work or school. Experts say the red tape and paperwork is so cumbersome that even people who work will lose their health insurance. If Congress moves forward with a controversial proposal to require people to report work hours to keep Medicaid, more than a million of California’s poorest residents could lose their health insurance. The budget bill that th…
Official: Fed Action Could Make SD’s Medicaid Work Requirements Moot
South Dakota’s proposal to implement work requirements for Medicaid expansion could be “an exercise in futility” now that the federal government is also considering it, said state Department of Social Services Secretary Matt Althoff.
New Medicaid Work Rules Spark Debate
Key Takeaways: New rules may require Medicaid recipients to work or volunteer. About 4.8 million able-bodied workers might be affected. Some say it’s about responsibility; others worry about unfairness. Changes aim to reduce misuse of the system. Not everyone agrees these rules are fair or effective. What’s Changing? The U.S. House of Representatives recently passed a bill that could change how Medicaid works. Medicaid is a program that helps p…
RSC members unveil legislation to defund NPR, near-universal support for Medicaid work requirements, and more!
May 30, 2025Let’s dive in.EXCLUSIVE: RSC members unveil legislation to defund NPRHeard on the HillEXCLUSIVE: Democratic Congressman mourns wrong victims following deranged anti-Semitic murder of Israeli embassy staffEXCLUSIVE: Rep. Mark Alford rolls out legislation to prevent Iran, China, Russia, and North Korea from buying any American landEXCLUSIVE: Kennedy Center sells out new family-friendly show, doubles number of screenings to meet demandP…
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