Millions of Medicaid recipients to face draconian requirements as of 1 January
Summary
Starting January 1, 2027, millions of people on Medicaid in the United States will have to prove they work, go to school, or volunteer at least 80 hours per month to keep their health insurance. This change is part of a large law signed by President Donald Trump in 2025 that cuts about $1 trillion from federal healthcare spending.Key Facts
- On January 1, 2027, new work requirements for Medicaid recipients will begin in 44 states that expanded Medicaid.
- About 20 million people on Medicaid must show they work, study, or volunteer 80 hours a month or earn $580 to keep coverage.
- People will have to re-certify Medicaid eligibility every six months instead of once a year.
- The law HR 1, signed by President Trump on July 4, 2025, cuts roughly $1 trillion from federal health spending.
- These spending cuts are expected to cause nearly 17 million people to lose health insurance by 2034.
- Medicaid and Medicare together accounted for nearly 40% of U.S. health spending in 2024.
- Experts say these changes could increase medical debt, delayed care, and loss of coverage.
- Medicaid expansion was part of the Affordable Care Act but faced opposition from Republicans, who aim to reduce federal Medicaid support.
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