Politics

State officials remain uncertain on how to enforce a requirement that many adult Medicaid enrollees show they’re working and they’re taking a variety of approaches to the job, including, in a handful of states, using artificial intelligence.

A rule change pushed by White House officials would slash benefits or end support for as many as 400,000 Supplemental Security Income recipients with Down syndrome, dementia and other disabilities whose parents or relatives receive SNAP benefits.

Proponents of work requirements argue that they incentivize people who are “work-ready” to seek and keep jobs, reducing dependence on government assistance and upholding the “dignity of work.”

Millions of people who apply for Medicaid in the coming years will have to prove they’ve been working, going to school, or volunteering for at least a month before they can gain or retain health insurance through the government program. But some states think the rules don't go far enough

Congressional Republicans’ One Big Beautiful Bill Act, which President Donald Trump signed into law last summer, will soon demand more from staff at state agencies in places where lawmakers expanded Medicaid to more low-income adults — nearly all states and the District of Columbia.

Amid the war with Iran, the president has proposed to scale back some of the very programs meant to ease families’ financial burdens.

Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.

Last August, the Trump administration sent states the names of hundreds of thousands of Medicaid enrollees with orders to determine whether they were ineligible based on immigration status. But seven months later, findings from five states shared with KFF Health News show that the reviews have uncovered little evidence of a widespread problem.

States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions.