Trump issues final rule requiring most Medicaid beneficiaries to work
Key takeaways
- The rule outlines the broad policies each state is required to have in place when implementing the Medicaid work requirements from the One Big Beautiful Bill Act.
- The rule establishes the standards states must use to implement the statutory work requirement, including clear expectations for eligibility determinations, exemptions, verification, and state reporting requirements.
- The GOP’s tax and spending megabill passed by Congress last summer used work requirements to partially pay for its nearly $3 trillion price tag.
Why this matters: political developments that affect policy direction and public trust.
The rule outlines the broad policies each state is required to have in place when implementing the Medicaid work requirements from the One Big Beautiful Bill Act.
The rule establishes the standards states must use to implement the statutory work requirement, including clear expectations for eligibility determinations, exemptions, verification, and state reporting requirements.
The GOP’s tax and spending megabill passed by Congress last summer used work requirements to partially pay for its nearly $3 trillion price tag. The Congressional Budget Office estimated nearly 5 million people will lose their Medicaid over the next decade as a result, including many who are already working.