The reconciliation proposal approved by the House Committee on Energy and Commerce in 2025 would impose community engagement requirements on nondisabled, working-age Medicaid recipients without dependent children, requiring at least 80 hours per month of work, training, education, or community service during a specified number of months to maintain eligibility. Analysis using Survey of Income and Program Participation data indicates that, as of December 2022, 44–60 percent of the 18.2 million recipients subject to the requirement would already be in compliance, depending on how many months of participation states require. As a result, 7.3 million–10.3 million recipients would need to increase their work or other qualifying activities to retain Medicaid coverage.
May 20, 2025 | By Kevin Corinth