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. 2025 Oct 1:e2516533.
doi: 10.1001/jama.2025.16533. Online ahead of print.

Clinical Characteristics of Adults at Risk of Medicaid Disenrollment Due to HR 1 Work Requirements

Ashwin K Chetty  1 , Joseph S Ross  2   3   4   5 , Alissa S Chen  2
Affiliations

Clinical Characteristics of Adults at Risk of Medicaid Disenrollment Due to HR 1 Work Requirements

Ashwin K Chetty et al. JAMA. .
No abstract available

Plain language summary

This study uses the NHANES database to describe clinical characteristics of Medicaid beneficiaries at risk of disenrollment due to the One Big Beautiful Bill Act’s (HR 1) work requirements, stratified by age group.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Ross reported receipt of grants from the FDA, Johnson & Johnson, Medical Devices Innovation Consortium, AHRQ, NIH/NHLBI, and Arnold Ventures; being an expert witness in a lawsuit; and formerly being chair of the MEDCAC (unpaid). No other disclosures were reported.

References

    1. HR 1, 119th Cong (2025). Accessed July 15, 2025. https://www.congress.gov/bill/119th-congress/house-bill/1/text
    1. Swagel PL. Letter to Ron Wyden, Frank Pallone Jr, and Richard E. Neal. Published 2025. Accessed July 15, 2025. https://www.cbo.gov/system/files/2025-06/Wyden-Pallone-Neal_Letter_6-4-2...
    1. Silvestri DM, Gluck AR, Ross JS. Assessment of health status and barriers to employment among Medicaid beneficiaries not meeting work requirements after accounting for state medical frailty exemptions. JAMA Intern Med. 2020;180(7):1008-1010. doi: 10.1001/jamainternmed.2020.1039 - DOI - PMC - PubMed
    1. Sommers BD, Goldman AL, Blendon RJ, Orav EJ, Epstein AM. Medicaid work requirements—results from the first year in Arkansas. N Engl J Med. 2019;381(11):1073-1082. doi: 10.1056/NEJMsr1901772 - DOI - PubMed
    1. Sommers BD, Allen HL. Medicaid work requirements shift to new terrain. JAMA. 2020;323(15):1433-1434. doi: 10.1001/jama.2020.2687 - DOI - PubMed

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