01 — The Text
What.
- Requires Medicaid recipients ages 18–65 to work or volunteer at least 20 hours weekly to keep coverage.
- Exempts people with medical conditions, caregiving responsibilities, and other listed hardship situations.
- Sets monthly average as the measurement standard for meeting the 20-hour threshold.
02 — The Stakes
So what?
- Affects able-bodied Medicaid adults who can't meet work hours; they lose coverage unless exempt.
- May reduce Medicaid enrollment and shift healthcare costs to uninsured or state-funded programs.
- States currently have limited work requirement authority; this federalizes the requirement across all state Medicaid programs.
03 — The Path
Now what?
- Bill introduced in Senate on Feb. 6, 2025; referred to Finance Committee. Needs committee approval before floor vote.
- Committee will debate scope of exemptions, implementation costs, and effects on coverage rates.
- Contact your senators to share your position on whether work requirements should apply to Medicaid.
Legislative History
Actions.
- Feb 6, 2025 — Read twice and referred to the Committee on Finance.
- Feb 6, 2025 — Introduced in Senate