Should Medicaid's New Work Requirements Take Effect?
The 2025 reconciliation law added work reporting, twice-yearly eligibility checks, and narrower eligibility to Medicaid, taking effect January 1, 2027, with some states starting early. Supporters call it program integrity; opponents say paperwork will drop eligible people from coverage. Congress could let the rules stand or roll them back. Where do you stand?
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The case for
Supporters argue that work requirements encourage employment, that regular checks keep the program for those who truly qualify, and that Medicaid's growth requires guardrails to stay sustainable.
Source: Foundation for Government Accountability (supports work requirements) →The case against
Opponents point to states where similar rules dropped thousands of eligible working people over paperwork, note most Medicaid adults already work, and say the savings come from churn, not fraud.
Source: Center on Budget and Policy Priorities (warns of coverage loss) →My Democracy doesn’t take a side — you choose your position below, and your message carries it. Sources represent one organization on each side; they don’t reflect My Democracy’s position.
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What’s your position?
Both sides are laid out above. Your message will carry your position — My Democracy doesn’t take a side.