06/06/2026
New guidance from the Administration shows that Medicaid work requirements introduced in the Republican tax law passed last summer will be even more strict than expected.
Starting next year, older adults will have to demonstrate that they have worked, volunteered, or attended school at least 80 hours a month to keep their Medicaid coverage.
The law passed by Congress said “medically frail” individuals could bypass the work requirements and remain eligible for Medicaid. But the rule released this week narrows the definition of who is considered “medically frail,” specifying that only patients who can prove that their condition(s) “significantly impairs” their ability to meet work requirements can qualify for exemption.
Last year, experts predicted that about five million Americans would lose coverage because of the work requirements.
“Millions of Americans – including seniors – rely on Medicaid for health and long-term care coverage,” said Richard Fiesta, Executive Director of the Alliance. “We said this law was cruel when it was passed, and Americans are about to find out just how far President Trump is willing to go to deny health care to Americans who need it.”