大多数低收入成年人必须每月工作、志愿工作或学习80小时,以便按照旨在节省3 880亿美元的新联邦规则,保持医疗补助计划。 Most low-income adults must work, volunteer, or study 80 hours monthly to keep Medicaid under new federal rules aimed at saving $388 billion.

从2026年1月1日起, 美国大多数州数以百万计的低收入成年人必须工作、志愿工作或每月至少学习80小时, Starting January 1, 2026, millions of lower-income adults in most U.S. states must work, volunteer, or study at least 80 hours monthly to maintain Medicaid coverage, under new federal rules tied to a tax-cut law. 这些变化旨在通过将入学人数减少600万,在十年内节省3 880亿美元,需要每半年进行一次资格审查。 The changes, aimed at saving $388 billion over ten years by reducing enrollment by 6 million, require biannual eligibility reviews. 尽管联邦拨款2亿美元,但各州面临超过10亿美元的费用,用于更新过时的计算机系统、改善在线门户和核实参与情况,尽管联邦拨款2亿美元。 States face over $1 billion in costs to modernize outdated computer systems, improve online portals, and verify participation, despite a $200 million federal aid allocation. 许多国家依靠私人承包商和现有合同在最后期限前完成合同,同时应对核查志愿工作时数和界定例外等挑战。 Many states rely on private contractors and existing contracts to meet deadlines, while grappling with challenges like verifying volunteer hours and defining exceptions. 对付款错误的联邦处罚从2029年10月起开始。 Federal penalties for payment errors begin in October 2029.