New federal Medicaid rules require 1 month of work. Some states demand more.

New federal Medicaid rules will require approximately 18.5 million adults in 42 states and Washington, D.C. to work for one month starting next year to maintain their health coverage. These new federal requirements come as some Republican-controlled states are pushing to mandate a three-month work period for Medicaid recipients. This policy shift could significantly impact access to healthcare for millions of low-income individuals. The Trump administration's new rules represent a tightening of eligibility requirements for the federal-state health insurance program. This change could lead to more people losing Medicaid coverage if they cannot meet the new work mandates.