Many statehouses are considering work requirements in Medicaid expansion programs despite their lackluster track record. Mississippi and Kansas are pushing for work requirements, with Kansas trying to soften Republican opposition to expansion. Idaho and Louisiana are also revisiting the idea. Only two states have implemented work requirements, and Arkansas’s initiative was ended in 2019, causing 18,000 people to lose coverage. Georgia’s Pathways to Coverage program has faced challenges, with low enrollment and high administrative costs. Critics argue that work requirements create barriers to healthcare access. The idea may persist, especially if former President Trump returns to office.
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