Work Requirements in Medicaid and Other Safety Net Programs

States are now allowed to impose work requirements on Medicaid beneficiaries, a major policy shift for the 50-year-old health insurance program. The Centers for Medicare & Medicaid Services issued guidance on Jan. 11, 2018 allowing states to test work requirements through Section 1115 demonstration waivers. Kentucky was the first state to be approved for a waiver; other states have received approvals for work requirements in Medicaid or have submitted waivers that would include them.

Current policy proposals also include the expansion of work requirements in federal cash assistance, nutritional assistance, and housing assistance programs. 

We will be studying these policy changes, estimating who could be affected, and exploring implementation and potential effects.

Publications

​Work Requirements in Safety Net Programs
Heather Hahn

Who Could Be Affected by Kentucky’s Medicaid Work Requirements, and What Do We Know about Them?
Anuj Gangopadhyaya and Genevieve M. Kenney

Research on Work Requirements, Access and Alignment of Supports for Low-Income Families: Testimony before the House Subcommittee on Higher Education and Workforce Development
Heather Hahn 

Guidance on Medicaid Work and Community Engagement Requirements Raises Many Important Questions
Heather Hahn, Genevieve M. Kenney, Eva H. Allen, Rachel A. Burton , and Elaine Waxman

Work Requirements in Social Safety Net Programs: A Status Report of Work Requirements in TANF, SNAP, Housing Assistance, and Medicaid
Heather Hahn, Eleanor Pratt, Eva H. Allen, Genevieve M. Kenney, Diane K. Levy, and Elaine Waxman 

Work Requirements in Housing Authorities: Experiences to Date and Knowledge Gaps
Diane K. Levy, Leiha Edmonds, and Jasmine Singleton