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Trump's Medicaid work mandates are meant to save money. But first states will have to spend millions

States are upgrading technology and staffing to meet work and eligibility rules affecting most Medicaid adults, with costs exceeding $1 billion despite projected federal savings of $388 billion.

  • The Trump administration is implementing new Medicaid work requirements for adults without young children, intended to save $388 billion over a decade and lead to 6 million fewer people insured.
  • To enact the requirements by January 1, states must spend over $1 billion to upgrade computer systems and hire staff to track participants' work, volunteering or student status.
  • States will receive $200 million in federal funds to help implement the changes, which require eligibility reviews every six months instead of annually.
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Associated Press NewsAssociated Press News
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Trump's Medicaid work mandates are meant to save money. But first states will have to spend millions

To receive Medicaid health coverage, some adults will soon have to show they are working, volunteering or taking classes. But to gather that proof, many states first will have to spend millions of dollars improving their computer systems.

·United States
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Associated Press News broke the news in United States on Sunday, March 1, 2026.
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