Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage. By Andrew Jones, Katheryn Houghton, and Jazmin Orozco Rodriguez Nov. 13, 2026

Medicaid Work Rules Don’t Apply to Native Americans. They Could Still Lose Coverage. By Andrew Jones, Katheryn Houghton, and Jazmin Orozco Rodriguez Nov. 13, 2026 https://kffhealthnews.org/health-care-costs/medicaid-work-rule-requirement-native-american-north-carolina-exemption-coverage/?utm_campaign=KHN%3A%20First%20Edition&utm_medium=email&_hsenc=p2ANqtz-9FnV-XXB0mZi49v5twO1iIytLOvwVwFKh0dk-dnOe362Ofm_5zL_0Nt_Xgcs6veH6lKJ1_UxFGlu04QwuMAueCoGIW_A&_hsmi=449142332&utm_content=449142332&utm_source=hs_email KFF Health News: Medicaid Work Rules Don’t Apply To Native Americans. They Could Still Lose Coverage Two months before the deadline to implement new Medicaid work requirements, states had yet to receive detailed guidance from federal health officials on how to exclude Native Americans from those rules, leading to a patchwork of eligibility checks that pose challenges for qualified enrollees trying to keep their health insurance. President Donald Trump’s One Big Beautiful Bill Act excluded Native Americans from having to meet the work requirements to keep their Medicaid eligibility. (Jones, Houghton, and Orozco Rodriguez, 11/13)