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Fact check: What are the eligibility requirements for Medicaid under Trump's new bill?

Checked on September 19, 2025

1. Summary of the results

The eligibility requirements for Medicaid under Trump's new bill include work requirements for adults in the Affordable Care Act (ACA) Medicaid expansion group, as stated in the analysis by [1]. According to this analysis, individuals must complete 80 hours of work or community service activities per month or meet exemption criteria to enroll in and maintain coverage, starting January 1, 2027 [1]. This requirement is also mentioned in the analysis by [2], which notes that states will have to deny coverage to people applying for Medicaid if they are not already working (or participating in another qualifying activity) at least 80 hours per month [2]. Additionally, the analysis by [3] suggests that Medicaid enrollees will have to regularly file paperwork proving that they are working, volunteering, or attending school at least 80 hours a month [3]. The analysis by [4] also discusses the impacts of the One Big Beautiful Bill Act on people with disabilities, including the requirement for individuals to prove they are working, engaging in community service, or receiving work training for at least 80 hours per month, unless they qualify for an exemption [4].

2. Missing context/alternative viewpoints

Some analyses, such as those by [5], [6], [7], and [8], do not provide specific information on the eligibility requirements for Medicaid under Trump's new bill [5] [6] [7] [8]. The analysis by [6] mentions that the Affordable Care Act's Medicaid expansion expanded Medicaid coverage to nearly all adults with incomes up to 138% of the Federal Poverty Level ($21,597 for an individual in 2025), but does not discuss the new eligibility requirements [6]. The analysis by [4] notes that the work requirement will penalize Medicaid enrollees who are trying to find a job, are having difficulty finding employment, or lack reliable transportation to work, including at least 2.6 million adults with disabilities who don’t have SSI or SSDI and have difficulty working due to disability or illness [4]. This suggests that the new eligibility requirements may have significant impacts on certain populations, such as people with disabilities. The analysis by [2] also notes that the Medicaid work requirements will take away coverage from millions of people, providing state and congressional district estimates [2].

3. Potential misinformation/bias in the original statement

The original statement asks about the eligibility requirements for Medicaid under Trump's new bill, but does not provide any context or information about the bill itself [1]. The analyses by [1], [2], and [3] suggest that the new bill includes work requirements for Medicaid eligibility, which may be a significant change to the program [1] [2] [3]. However, the analyses by [4] and [7] note that these changes may have negative impacts on certain populations, such as people with disabilities and those who are struggling to find employment [4] [7]. This suggests that the original statement may be framed in a way that benefits the Trump administration, by not highlighting the potential negative consequences of the new eligibility requirements. On the other hand, the analyses by [4] and [7] may be framed in a way that benefits advocacy groups, by emphasizing the negative impacts of the new requirements on certain populations [4] [7].

Want to dive deeper?
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