Guardian: ‘Draconian’ Work Requirements Set to Take Effect

A federal healthcare reform law enacted under the Trump administration will impose new eligibility requirements on Medicaid recipients starting January 1, 2027, including a mandate to work, volunteer, or participate in qualifying activities for at least 80 hours per month. Hospital leaders and patient advocates are preparing for the change, which falls shortly after the 2026 midterm elections. Millions of enrollees could lose coverage if they fail to meet or properly document compliance with the new requirements. The law's rollout is expected to significantly reshape Medicaid eligibility and enrollment processes nationwide.

Managed Care · Finance