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Map shows Medicaid expansion enrollment in counties that meet the criteria for the high unemployment hardship exception to work requirements, using 12-month average unemployment rates from June 2024 to May 2025.

What is the Medicaid Hardship Exception and How Could it Affect Who’s Required to Work?

The budget reconciliation law allows states to request a hardship exception for individuals who live in counties with high unemployment rates. The number of counties and Medicaid expansion enrollees that will ultimately qualify for the hardship exception will depend on how unemployment rates change, how the exception is implemented, and how many states request it. Nationally, 7% of Medicaid expansion enrollees (1.4 million) could potentially qualify because they live in counties with high unemployment.

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More than 800 state-level health indicators can be mapped, ranked, and downloaded

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Explore the latest national and state-specific data and policies on women’s health, including health status, insurance coverage, use of preventive services, and more.

Most "dual-eligible" individuals (8.9 million in 2024) are eligible for Medicaid benefits that are not otherwise covered by Medicare, including long-term care.

More than 800 up-to-date, state-level health indicators can be mapped, ranked, and downloaded.

Use this tool to build a custom report compiling health-related data for a single state or multiple states.

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