Native Americans Concerned About Medicaid Changes Under New Requirements

A recent tax-and-spending law signed by President Trump introduces new Medicaid work requirements that will be implemented by 2027. While Native Americans are explicitly exempted from these requirements, tribal health leaders express concern that procedural issues could still lead to coverage disruptions. The law requires certain Medicaid recipients ages 19-64 to log 80 hours of work or qualifying activities monthly and undergo eligibility checks every six months instead of annually.