Starting in 2027, the One Big Beautiful Bill Act will require able-bodied Medicaid enrollees aged 19 to 55 to complete 20 hours of weekly community engagement, such as paid work, job training, or volunteering. Although there are broad exemptions – children, pregnant women, and people with disabilities – the Congressional Budget Office estimates these requirements will lead to 4.8 million fewer able-bodied adults enrolling in Medicaid by 2034, significantly altering the program’s scope.
To learn more about Medicaid and the Hoover Institution’s Tennenbaum Program for Fact-Based Policy, be sure to visit: hoover.org/tennenbaum
