Starting this January, new work mandates for select Medicaid recipients will take effect nationwide under President Donald Trump's major 2025 tax and policy legislation, with a group of Republican-governed states adopting measures far stricter than federally required.
Central to the dispute is the process by which individuals demonstrate they are medically unfit for employment. Although federal guidelines permit states to accept a participant's self-attestation for the initial 12 months, a minimum of six states are insisting on immediate medical proof, a standard that additional states are striving to adopt.
