In this fact sheet, authors Andrew Schaefer and Jessica Carson explore whether rural and urban Medicaid recipients would be differentially affected by a work requirement. They focus on Medicaid recipients through a rural/urban lens because rural adults differ from their urban counterparts on a host of demographic characteristics. They report that about three in ten Medicaid recipients could be affected by a work requirement, a share that is similar in rural and urban places. Among Medicaid recipients potentially affected by a work requirement, the majority worked at least part of the previous year or were motivated to work but could not find a job, a share that is slightly higher in rural places than in urban. The especially high share of those already working or looking for work in rural places may warrant additional consideration from legislators representing rural areas. In both rural and urban places, legislators should consider whether the consequences to families losing health insurance coverage outweigh the relative benefits of enforcing work requirements.

Publication Date

Summer 7-6-2017


National Fact Sheet No. 35


Durham, N.H. : Carsey School of Public Policy, University of New Hampshire

Document Type



Copyright 2017. Carsey School of Public Policy. These materials may be used for the purposes of research, teaching, and private study. For all other uses, contact the copyright holder.





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