Medicaid Work Requirement Risks Tripping Up Caregivers, Disabled

May 23, 2025, 9:05 AM UTC

The prospect of a national Medicaid work requirement is prompting concern from health policy watchers that future cost savings will come at the expense of caregivers, people with disabilities, and additional beneficiaries who would otherwise be exempted from the mandate.

House Republicans on Thursday passed a tax and spending bill (H.R. 1) that includes a series of changes aimed at cracking down on perceived wasteful spending in the Medicaid program. An estimated $273 billion of the bill’s nearly $800 billion in appraised health-care savings will come from requiring adults ages 19 to 64 to complete 80 hours per ...

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