New Medicaid Work Requirements Finalized by CMS
美國醫療保險與醫療補助服務中心敲定新的醫療補助計劃工作要求
更新於: 2026年6月5日 上午09:30
In a significant shift for healthcare policy, the Centers for Medicare & Medicaid Services (CMS) has finalized new nationwide work requirements for the Medicaid program.
針對醫療保健政策的一項重大轉變，聯邦醫療保險和補助服務中心（CMS）已敲定針對醫療補助計畫（Medicaid）的全國性新工作要求。
Stemming from the H.R. 1 legislation passed by Congress, these rules mandate that non-pregnant adults aged 19 to 64, not enrolled in Medicare, must engage in at least 80 hours per month of work, job training, or community service to maintain eligibility.
根據國會通過的 H.R.
While certain groups—such as those with disabilities, veterans, and caregivers—are exempt, the policy requires formal documentation to verify compliance.
1 法案，這些規則強制要求 19 至 64 歲且未參加聯邦醫療保險（Medicare）的非孕期成人，每月必須參與至少 80 小時的工作、職業培訓或社區服務，以維持資格。
States are expected to implement these changes by January 1, 2027, though some may seek extensions until 2028.
儘管特定族群（如身心障礙者、退伍軍人及照護者）可獲豁免，但該政策要求提供正式文件以驗證合規性。
The policy has sparked intense debate.
各州預計需在 2027 年 1 月 1 日前落實這些變更，儘管部分州可能會尋求延展至 2028 年。
Proponents believe the requirements will foster economic independence and program integrity.
此項政策引發了激烈辯論。
As states scramble to modernize their systems with government grants, the nation watches to see how this transition impacts the millions of Americans who rely on Medicaid for their health and wellbeing.
相反地，批評者對潛在的醫療覆蓋率損失深表擔憂，相關預測顯示，由於行政障礙，可能有數百萬人因此失去醫療服務。
