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How Medicaid Work Requirements May Shrink Coverage By Millions

Photo by National Cancer Institute / Unsplash

New Medicaid work requirements set to begin in January 2027 could disproportionately affect Americans ages 50 to 64, particularly women, according to KFF Health News.

Under the GOP-backed budget law signed during President Donald Trump’s administration, roughly 20 million low-income adults in 42 states and Washington, D.C., must work, volunteer, attend school, or complete other approved activities for at least 80 hours a month to maintain coverage.

The nonpartisan Congressional Budget Office estimates at least 5 million people could lose Medicaid over the next decade.

While supporters argue the policy protects long-term program stability, researchers at KFF and Georgetown University say many older adults rely on Medicaid before qualifying for Medicare at 65.

Studies show only 8 percent of Medicaid recipients are considered able-bodied and not working, many of them caregivers.

Health policy experts warn that coverage losses could worsen chronic conditions and increase future Medicare costs, particularly for older Americans already facing health and caregiving burdens.

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