A social policy think tank said up to 2.3 million young adults could lose Medicaid if they fail to meet new work requirements.
The requirements and frequent eligibility checks could reduce enrollment among adults aged 19 to 24 in expanded Medicaid by up to 48 percent, depending on how states implement it, according to an analysis published by The Urban Institute on Sept. 14.
The new provisions were passed in the One Big Beautiful Bill Act in 2025. They take effect Jan. 1, 2027. Expanded Medicaid, which allows participating states to offer Medicaid to people earning up to 138 percent of the federal poverty level, took effect in 2014 under the Affordable Care Act. …