Medicaid work requirement rules released by President Trump’s CMS

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WASHINGTON – The Trump administration released a long-awaited document Monday that establishes sweeping new requirements for many adult Medicaid recipients to work or attend school to qualify for coverage.

This rule by the Centers for Medicare and Medicaid Services establishes the standards states must use to implement Medicaid operational requirements, including who is exempt from the requirements, how to verify exemptions, and state reporting requirements. Work requirements created as part of President Trump’s 2025 tax cut bill are popular among Republican politicians but generally opposed by Democrats and advocates for the seriously ill and low-income people.

Initial estimates predicted that the work requirement policy would reduce federal Medicaid spending by $326 billion and cause 5.3 million people to lose Medicaid coverage. On Monday, a division of the federal Department of Health and Human Services released a research brief claiming the rule could put more people to work and reduce poverty by 1.6 million to 2.9 million people.

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