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OBBBA work rules could drop Medicaid coverage for millions of young adults

A photo of a hospital ambulance bay with a big red sign reading "AMBULANCE" above automatic double glass doors.
Photo: Brandon Bell/Getty Images

Urban Institute projects up to 2.3 million young adults could lose Medicaid under OBBBA work rules and six-month redeterminations.

A new Urban Institute analysis finds that OBBBA’s work requirements and more frequent eligibility checks could significantly reduce Medicaid coverage for young adults.

The report estimates that 1.1 million to 2.3 million adults aged 19–24 could lose Medicaid expansion coverage in 2028 under the combined policies. Researchers note that the One Big Beautiful

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