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States try to revive Medicaid work requirements, worrying some low-income Americans

  • In January 2025, plans were revealed to reintroduce Medicaid work requirements in Arkansas, reflecting a policy previously implemented during the initial Trump administration.
  • The state allocates $2.2 billion annually to provide Medicaid coverage for upwards of 200,000 individuals who are generally healthy, with estimates indicating that 40% of this group are currently unemployed, leading to the implementation of a new work requirement.
  • The proposed rules would require able-bodied adults to work or seek job assistance, pausing Medicaid coverage for those who refuse, while exempting people with disabilities or caregiving duties.
  • Previous Arkansas efforts led to coverage loss for about 18,000 people within a year, and the Congressional Budget Office estimates nationwide work requirements could save over $100 billion by excluding some enrollees.
  • The policy revival raises concern among patients and advocates who fear loss of coverage and hardship for vulnerable populations despite proponents' claims it will encourage employment and reduce costs.
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Michigan Advance broke the news in on Wednesday, May 7, 2025.
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