New federal Medicaid rules require one month of work. Some states demand more.

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KFF Health News Apr 17 2026 Millions of people who apply for Medicaid in the coming years will have to prove they've been working, going to school, or volunteering for at least a month before they can gain or retain health insurance through the government program. But Republican lawmakers in some states think the new rules — part of the GOP's One Big Beautiful Bill Act, signed last July by President Donald Trump — don't go far enough. Indiana is leading that charge, with a new law that requires

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