Greetings—

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New analysis from Urban Institute researchers shows that a Medicaid work requirement program implemented in Arkansas in 2018-2019 reduced the number of adults with health insurance coverage and had no effect on employment.


In a new Health Services Research
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journal article and
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related blog post, Urban Institute researchers Anuj Gangopadhyaya and Michael Karpman compared coverage and employment trends among 30-to 49-year-olds who were subject to Arkansas’ work requirement policy with trends for their peers in other Medicaid expansion states. The researchers find:
- After the work requirement was implemented, the uninsurance rate spiked for 30-to 49-year-olds in Arkansas while remaining stable for their peers in other states.
- The work requirement policy was associated with a 27.5 percent increase in the uninsurance rate among 30-to 49-year-olds in Arkansas with incomes below the federal poverty level.
- Arkansas’s work requirement did not have significant effects on employment or the share of adults with employer-sponsored health insurance.
- Coverage losses disproportionately affected adults without home internet access, who could have experienced difficulty accessing the state’s online portal for requesting exemptions and reporting work activities. As federal and state policymakers consider establishing work requirements for Medicaid enrollees, the findings—which are consistent with previous research on Arkansas’ Medicaid work requirements—suggest that a policy modeled on Arkansas’ program would decrease health insurance coverage rates without achieving the intended goal of promoting work.

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Read the blog post to learn more. For additional research analyzing the effects of changes to federal Medicaid funding,
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visit the webpage.


If you have questions for the research team, please reply to this email. We’re happy to connect you.


Thanks,


- The Stakeholder Outreach team

U R B A N I N S T I T U T E

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