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.
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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 on carrying out the work rules laid out in the One Big Beautiful Bill Act. GOP lawmakers and [...]
Health Groups Unhappy With Medicaid Work Requirement Interim Rule
(MedPage Today) -- CMS issued an interim final rule Monday outlining implementation rules for new Medicaid work requirements, and health organizations seemed none too happy with it. "Most adults covered by Medicaid are already working, caregiving...
Trump administration puts out strict Medicaid work rules
Work rules for sick people on Medicaid will be stricter than advocates had hoped. The Trump administration released its guidance for states, which have to stand up the new bureaucracies by Jan. 1.
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