Executive Summary
These requirements exacerbate economic hardships and strain rural healthcare systems. Rural communities face unique challenges, such as irregular job schedules, limited transportation, and a lack of support services, making it difficult to meet work requirements. Additionally, reducing Medicaid coverage threatens the financial stability of rural hospitals, increasing the risk of closures and limiting access to vital healthcare services, including maternal care. Medicaid work requirements undermine healthcare access and the economic stability of rural communities.