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HB 1023

Medicaid work requirements.

2025 Regular Session Introduced by Julie McGuire and 1 co-sponsor

Indiana bill imposing employment conditions on Medicaid eligibility to reduce coverage dependency or improve self-sufficiency while risking healthcare access loss.

Representative McGuire added as coauthor
#health;medicaid
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WeVote Research Nonpartisan
Bill Summary · HB 1023

Legislative bill overview

HB 1023 would impose work requirements on Medicaid beneficiaries in Indiana, conditioning eligibility on employment or participation in work-related activities. The bill was introduced in January 2025 and is currently in the Public Health Committee after its first reading.

Why is this important

Work requirements directly affect healthcare access for low-income Hoosiers by potentially removing Medicaid coverage for those unable to meet employment conditions. This represents a significant policy shift with implications for vulnerable populations including elderly individuals, people with disabilities, caregivers, and those in economically disadvantaged areas.

Potential points of contention

  • Coverage loss and health outcomes: Critics argue work requirements reduce coverage among eligible individuals, leading to delayed medical care and worse health outcomes; supporters contend they incentivize self-sufficiency and reduce dependency
  • Implementation and exemptions: Disagreement over which groups qualify for exemptions (disabled persons, caregivers, students), how states verify compliance, and administrative costs of enforcement
  • Economic feasibility: Debate over whether available jobs pay living wages and whether unemployment or underemployment in certain regions makes work requirements realistic for all beneficiaries

Compiled from official sources — confirm details with the bill’s official record.

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