Medicaid Work Requirements Could Put 36 Million People at Risk of Losing Health Coverage

April 11, 2025

Recent proposals from Republican congressional leaders and conservative think tanks would cut Medicaid by taking coverage away from people who don’t meet unnecessary and burdensome work requirements.[1] We estimate that 36 million Medicaid enrollees — including people in every state — could be at risk of losing their coverage under various proposals.

While not all of those at risk would lose coverage, many would. They would include people who cannot navigate complex work-reporting and verification systems each month, as recent proposals would require, along with other people who are unable to navigate the exemption process periodically to retain coverage and those who have been laid off or are otherwise unemployed, often temporarily.


Center on Budget and Policy Priorities
February 5, 2025
bGideon Lukens and Elizabeth Zhang