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States Prepare to Implement New Medicaid Work Requirements

At least six states now require proof of medical frailty immediately, and federal estimates project 7.5 million fewer people will have coverage.

  • On October 1, approximately 5,000 Michigan immigrants will lose routine Medicaid coverage, transitioning to emergency-only services under the federal 'One Big, Beautiful Bill' passed last year.
  • Last year's federal 'One Big, Beautiful Bill' mandates Medicaid beneficiaries work or volunteer at least 80 hours monthly to maintain coverage, affecting up to 20 million lower-income adults across 40 states and the District of Columbia.
  • Michigan hired more than 400 workers using $54.3 million budgeted earlier this year to help 650,000 residents navigate new requirements, though federal guidance continued arriving through September.
  • Christine Sauvé, spokesperson for the Michigan Immigrant Rights Center, warned the policy will have a 'chilling effect on noncitizens, even for those who will remain eligible,' while the state allocated $12.25 million for community navigators announced September 15.
  • Democrats in 25 states are suing, asserting the rules are too harsh, while the Congressional Budget Office projects the changes will reduce federal spending by $887 billion over ten years and result in 7.5 million fewer people with health insurance.
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As work requirements kick in for Medicaid, some states are taking a tougher stance

At least six states will require documentation that individuals are too sick to meet Medicaid work requirements kicking in next year.

·New York, United States
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Bridge Michigan broke the news on Friday, September 25, 2026.
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