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Story perspectives

New Medicaid Work Requirements Spark Controversy, Impact Millions

4/15/2026

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Story summary
  • New Medicaid work requirements will affect millions by requiring proof of work, school, or volunteer activity for one to three months.
  • Indiana has enacted the strictest rule, mandating three months, while Missouri and other states propose similar measures.
  • Advocates warn these requirements could harm vulnerable populations, especially those with chronic illnesses or caregiving duties.
  • Critics say there is little evidence of widespread fraud and the changes will reduce Medicaid enrollment.