Brief Report

Medicaid Work-Reporting Requirements Under HR 1 and Insufficient or Inconsistent Work Hours

JAMA Health Forum 10.1001/jamahealthforum.2026.2938

August 28, 2026 at 11:00 AM EDT

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This cross-sectional study found near full-time mean hours per week among working adults age 18 to 64 years enrolled in or likely eligible for Medicaid expansion. However, nearly one-fifth were at risk of noncompliance due to insufficient or variable hours.

Corresponding Author: Paul R. Shafer, PhD, Department of Health Law, Policy, and Management, School of Public Health, Boston University, 715 Albany St, Talbot 340 West, Boston, MA 02118 (pshafer@bu.edu).

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