Brief

Consistent Health Coverage and Care: How Medicaid Work Requirements Disrupt Care and Harm Health

January 20, 2026

Mother Feeding Child

As federal and state officials prepare to plan and implement new Medicaid work requirements included in the 2025 Tax and Budget Reconciliation Bill (H.R. 1), it is critical to revisit the extensive evidence showing that work reporting requirements restrict access to health insurance and other essential supports. Medicaid provides coverage for one in five people in the United States, including two in five children, and additional eligibility hurdles risk disrupting the continuous coverage and stable care that people need to thrive. This brief examines evidence demonstrating how work requirements interrupt ongoing healthcare coverage and the consistent care and support that families rely on for their health and stability.

Read the full compendium in the Consistent Health Coverage and Care series here.

About the Author

  • Juliana Zhou

    Policy Analyst

  • Elisa Minoff

    Director of Economic Security, Senior Fellow in Policy History

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