Healthcare Costs· KFF Health News

Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage.

By Andrew Jones, Katheryn Houghton and Jazmin Orozco Rodriguez, KFF Health News · November 13, 2026

Work requirements don’t apply to tribal citizens. But federal health officials provided limited guidance on how states should check eligibility. “I’m extremely nervous,” a North Carolina tribal healthcare administrator said.

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Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage.

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