The potential cost of federal Medicaid work requirements, state by state

Federal Medicaid work requirements could cost states up to $10.3 billion each year if they chose to maintain coverage for people no longer federally eligible for the program, according to an analysis from Kaiser Family Foundation. 

The analysis, published May 5, estimated 1.7 million people would no longer be eligible for Medicaid if federal work requirements are implemented. 

The Congressional Budget Office estimated 1.5 million people would no longer be eligible for Medicaid under work requirements, and states would pay to maintain coverage for around 900,000 of these enrollees. 

House Republicans have proposed Medicaid work requirements as part of their proposal to raise the debt ceiling into next year. The bill passed in the House April 26, though the bill is unlikely to pass the Democratic-controlled Senate. 

The proposal would require Medicaid beneficiaries between the ages of 19 and 56 to work, volunteer or be involved in a work program for at least 80 hours a month. 

The work requirements would only apply to states that have expanded Medicaid eligibility. 

Here's the cost of maintaining coverage for the estimated number of adults who would no longer federally eligible under work requirements, state-by-state: 

California

Adults losing federal eligibility: 326,000

Cost to maintain enrollment: $1.65 billion 

New York 

Adults losing federal eligibility: 186,000

Cost to maintain enrollment: $1.10 billion 

Illinois

Adults losing federal eligibility: 116,000

Cost to maintain enrollment: $692 million

Pennsylvania

Adults losing federal eligibility: 83,000

Cost to maintain enrollment: $537 million

Michigan

Adults losing federal eligibility: 75,000

Cost to maintain enrollment: $453 million

Washington

Adults losing federal eligibility: 72,000

Cost to maintain enrollment: $578 million

Ohio

Adults losing federal eligibility: 67,000 

Cost to maintain enrollment: $411 million

New Jersey

Adults losing federal eligibility: 57,000

Cost to maintain enrollment: $353 million

Indiana

Adults losing federal eligibility: 53,000 

Cost to maintain enrollment: $331 million

Louisiana

Adults losing federal eligibility: 53,000

Cost to maintain enrollment: $356 million

Kentucky

Adults losing federal eligibility: 48,000

Cost to maintain enrollment: $363 million

Virginia

Adults losing federal eligibility: 47,000

Cost to maintain enrollment: $349 million 

Colorado

Adults losing federal eligibility: 46,000

Cost to maintain enrollment: $242 million

Arizona

Adults losing federal eligibility: 44,000

Cost to maintain enrollment: $384 million 

Oregon

Adults losing federal eligibility: 44,000

Cost to maintain enrollment: $297 million

Maryland

Adults losing federal eligibility: 33,000

Cost to maintain enrollment: $242 million

Arkansas

Adults losing federal eligibility: 29,000

Cost to maintain enrollment: $181 million

Massachusetts

Adults losing federal eligibility: 29,000

Cost to maintain enrollment: $205 million

Nevada

Adults losing federal eligibility: 27,000

Cost to maintain enrollment: $147 million

Connecticut

Adults losing federal eligibility: 25,000

Cost to maintain enrollment: $177 million

New Mexico

Adults losing federal eligibility: 25,000

Cost to maintain enrollment: $150 million

Minnesota

Adults losing federal eligibility: 20,000

Cost to maintain enrollment: $179 million

Oklahoma

Adults losing federal eligibility: 20,000 

Cost to maintain enrollment: $95 million

Iowa

Adults losing federal eligibility: 19,000

Cost to maintain enrollment: $100 million

Missouri

Adults losing federal eligibility: 18,000

Cost to maintain enrollment: $88 million

West Virginia

Adults losing federal eligibility: 18,000

Cost to maintain enrollment: $92 million

Hawaii

Adults losing federal eligibility: 12,000

Cost to maintain enrollment: $62 million

Montana

Adults losing federal eligibility: 10,000

Cost to maintain enrollment: $72 million

Idaho

Adults losing federal eligibility: 8,000

Cost to maintain enrollment: $55 million

Delaware

Adults losing federal eligibility: 7,000

Cost to maintain enrollment: $38 million

New Hampshire

Adults losing federal eligibility: 7,000

Cost to maintain enrollment: $39 million

Rhode Island

Adults losing federal eligibility: 7,000

Cost to maintain enrollment: $49 million

Utah

Adults losing federal eligibility: 7,000

Cost to maintain enrollment: $57 million

District of Columbia

Adults losing federal eligibility: 6,000

Cost to maintain enrollment: $36 million

Vermont

Adults losing federal eligibility: 6,000

Cost to maintain enrollment: $18 million

Alaska

Adults losing federal eligibility: 5,000

Cost to maintain enrollment: $38 million

Maine

Adults losing federal eligibility: 5,000

Cost to maintain enrollment: $40 million

Nebraska

Adults losing federal eligibility: 5,000

Cost to maintain enrollment: $41 million

North Dakota

Adults losing federal eligibility: 3,000

Cost to maintain enrollment: $31 million

South Dakota

Adults losing federal eligibility: 3,000

Cost to maintain enrollment: $17 million

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