从2026年1月1日起,大多数低收入成年人必须工作、志愿工作或每月学习80小时才能保住医疗补助,这是根据旨在节省3880亿美元的新联邦规则。 Starting Jan. 1, 2026, 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 major tax-cut law. 这些变化要求每半年对资格进行审查,目的是通过减少600万人的入学人数,在十年内节省3 880亿美元。 The changes, which require biannual eligibility reviews, aim to save $388 billion over ten years by reducing enrollment by 6 million people. 尽管联邦提供了2亿美元的援助拨款,但各州在更新过时的计算机系统、改善在线门户以及核实参与方面面临着巨大的成本——预计费用将超过10亿美元。 States face significant costs—projected to exceed $1 billion—to upgrade outdated computer systems, improve online portals, and verify participation, despite a $200 million federal aid allocation.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,缺乏关于志愿人员或就业数据的中央数据库,使实施工作复杂化。 Many states rely on private contractors and lack centralized databases for volunteer or employment data, complicating implementation. 联邦政府将支付高达90%的系统开发费用,但将从2029年10月起,因支付错误过大而处罚各州。 The federal government will cover up to 90% of system development costs but will penalize states with excessive payment errors starting October 2029.