Repeal the Medicaid Work Reporting Requirement Before January 2027

Arkansas's 2018 reporting rule cut off more than 18,000 people in seven months without raising employment.

A letter to your members of Congress. Facts checked September 25, 2026.

The explainer behind this letter Medicaid Who Medicaid covers, the cuts now law, and when they hit

The Letter

Subject Repeal the Medicaid Work Reporting Requirement Before It Takes Effect

Starting January 1, 2027, adults covered through Medicaid expansion will have to prove 80 hours a month of work, volunteering, or school to keep their health coverage. Nebraska started early, and its first coverage losses came on July 31.

We have seen this before. In 2018, Arkansas required monthly reporting, and more than 18,000 people lost coverage in seven months. Researchers found no gain in employment. KFF reports that 64% of adults on Medicaid already work, and CMS itself projects the new rule will cut enrollment by 2.3 million people in its first year.

People who lose coverage do not stop getting sick. The cost moves to hospitals, to states, and to families.

Please cosponsor legislation to repeal the Medicaid work reporting requirement before it takes effect on January 1, 2027.

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U.S. Capitol switchboard: (202) 224-3121

I'm calling to ask the Senator or Representative to cosponsor legislation repealing the Medicaid work reporting requirement before it takes effect on January 1, 2027.
Arkansas tried monthly reporting in 2018. More than 18,000 people lost coverage in seven months, and employment did not rise.
CMS projects the new rule will cut enrollment by 2.3 million people in its first year.
I'm a constituent, and I'd like to know where they stand.

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The Facts Behind the Ask

18,000+ Arkansans lost Medicaid in seven months under the 2018 reporting rule, with no gain in employment. (source)
2.3 million fewer people enrolled in fiscal 2027, by CMS's own projection for its work rule. (source)
64% of adults on Medicaid are already working. (source)
$911B cut from federal Medicaid spending over 10 years by the 2025 budget law, per CBO as allocated by KFF. (source)

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