如果国家申请豁免,高失业地区多达460万医疗补助领取者可免于适用工作规则。 Up to 4.6 million Medicaid recipients in high-unemployment areas may be exempt from work rules if states apply for waivers.

根据特朗普总统将于2027年1月提出的医疗补助工作要求,42个州和华府的数百万成年人、非残疾受助人必须工作、志愿工作或每月上学80小时,以保持覆盖率。 Under President Trump's upcoming Medicaid work requirement, set for January 2027, millions of adult, nondisabled recipients in 42 states and D.C. must work, volunteer, or attend school 80 hours monthly to keep coverage. 但是,如果各州申请豁免豁免,失业率至少为8%或全国平均水平1.5倍的县的个人可以免责。 However, individuals in counties with unemployment rates at least 8% or 1.5 times the national average may be exempt if states apply for waivers. KFF 的一项分析表明，如果政府采用灵活的解释，386 个县的多达 460 万人可能有资格获得救济，从而可能豁免近四分之一的受影响者。 A KFF analysis suggests that up to 4.6 million people in 386 counties could qualify for relief if the administration uses a flexible interpretation, potentially exempting nearly a quarter of those affected. 该规则仅适用于扩大医疗补助计划或获得特别豁免的国家,豁免个人的最后人数取决于行政当局如何解释法律,以及国家是否正式要求豁免。 The rule applies only to states that expanded Medicaid or received special waivers, and the final number of exempt individuals depends on how the administration interprets the law and whether states formally seek exemptions.