New England Journal of Medicine · 2019
Arkansas work requirement disenrolled thousands of working enrollees who could not navigate reporting requirements
No significant change in employment rates among affected population
Health Affairs · 2019
Majority of those disenrolled in Arkansas were already working, caregiving, or otherwise exempt but failed paperwork
Administrative barrier, not employment status, was primary driver of coverage loss
Congressional Budget Office · 2025
Medicaid work requirements of the enacted type projected to reduce federal Medicaid spending by tens of billions over a decade
Savings driven primarily by eligible individuals losing coverage due to administrative barriers