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Trump Rule Forces Medicaid Adults to Work, Saves $325 B

7/31/2026

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Story summary
  • U.S. President Donald Trump’s administration rule published June 1 requires Medicaid adults 19-64 to work, volunteer or attend school/training at least 80 hours per month.
  • Wisconsin estimates 200,000 BadgerCare participants are affected, with DHS Secretary Kirsten Johnson reporting about 63,000 lack work-history records.
  • Nebraska Medicaid director Drew Gonshorowski says 200 people will lose coverage on Aug. 1, 70,000 will be subject to requirements, and it could save government $325 billion over 10 years.