Recommendations for Mitigating Harms to People with Disabilities, Older Adults, and Caregivers from Medicaid Work Requirements

Executive Summary

*** Co-Authored with Natalie Kean, Jennifer Mathis, and Gelila Selassie

The One Big Beautiful Bill Act (OBBBA) establishes unprecedented work requirements in Medicaid expansion. Prior experience has shown that people with disabilities, older adults, and caregivers who should be exempted from work requirements often lose coverage or are denied enrollment due to poor outreach or excessive red tape. This co-branded brief from Justice in Aging, the Bazelon Center for Mental Health Law, and the National Health Law Program offers implementation strategies to minimize wrongful coverage loss and protect people’s access to care due to these new policies.