Overview

• Both House and Senate versions would require adults aged 19 to 64 to log 80 hours of work or qualifying activities each month as a condition for Medicaid eligibility.
• Exemptions would cover individuals with dependent children or qualifying medical conditions, with the Senate plan further limiting parental exemptions to caregivers of children under 14.
• The House bill projects $344 billion in federal spending cuts over the next decade from Medicaid work requirements, marking its largest source of savings.
• Current law bars Medicaid eligibility from being tied to work reporting, but states may apply for waivers and Georgia is currently the only state enforcing such a requirement.
• Past state experiments, notably in Arkansas, led to substantial coverage losses without improving employment rates, raising concerns about potential enrollment impacts.