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Insurers Push for Medicaid Work Requirement Overhaul by 2027

11/4/2025

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Center

Trump Administration Advocates

Two organizations representing Medicaid managed care plans urged the U.S. administration led by U.S. President Donald Trump to improve the January 1, 2027 work requirements rollout.
They propose letting insurers use modern communication methods, enhancing data sharing, and allowing self-attestations for compliance.
They warn that healthier enrollees leaving could reduce capitation rates.
States face challenges updating eligibility systems and expect enrollee confusion from the tight implementation timeline.

Left

Medicaid Implements Work Requirement

In 2027, Medicaid will implement a work requirement as part of a Republican domestic bill, requiring enrollees to prove they are working or volunteering to maintain coverage.
The Congressional Budget Office estimates the policy could save over $325 billion in Medicaid spending over the next decade, while about five million people could lose benefits.
Critics warn that paperwork challenges may cause eligible individuals to lose coverage.

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Trump Administration Advocates

Two organizations representing Medicaid managed care plans urged the U.S. administration led by U.S. President Donald Trump to improve the January 1, 2027 work requirements rollout.
They propose letting insurers use modern communication methods, enhancing data sharing, and allowing self-attestations for compliance.
They warn that healthier enrollees leaving could reduce capitation rates.
States face challenges updating eligibility systems and expect enrollee confusion from the tight implementation timeline.

1 / 2