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Research Letter
November 2018

State-Level Population Estimates of Individuals Subject to and Not Meeting Proposed Medicaid Work Requirements

Author Affiliations
  • 1National Clinician Scholars Program, Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut
  • 2School of Nursing, Yale University, Orange, Connecticut
  • 3Section of General Medicine, National Clinician Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut
  • 4Department of Health Policy and Management, Yale School of Public Health, New Haven, Connecticut
  • 5Center for Outcomes Research and Evaluation, Yale–New Haven Health System, New Haven, Connecticut
JAMA Intern Med. 2018;178(11):1552-1555. doi:10.1001/jamainternmed.2018.4196

Several states have sought waivers from the US Secretary of Health and Human Services to impose work requirements as a condition of Medicaid eligibility, as permitted under §1115 of the Social Security Act.1 Implications of such requirements depend on differences in states’ proposed policies, Medicaid eligibility criteria, and population characteristics. To estimate the potential impact of work requirements on Medicaid eligibility, we derived state-level proportions of Medicaid-eligible individuals subject to and not already meeting requirements using nationally representative population survey data, both for states proposing work requirements and those not doing so, including the District of Columbia.

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