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Medicaid Rule Allows One-Year Exemptions, Risks 5 Million Losses

6/2/2026

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Story summary
  • The final rule lets Medicaid recipients self-declare exemption for one year.
  • The rule requires beneficiaries ages 19-64 to meet work, school, or volunteer requirements Jan 1 2027.
  • Exemptions include pregnant women, parents of children under 13, disabled veterans, and medically frail individuals.
  • The Congressional Budget Office projects 5 million could lose Medicaid by 2034 because of paperwork.
  • Officials cite a National Bureau of Economic Research report that says benefits reduce work incentives.