Proposed Medicaid Work Requirements Could Leave 61,826 Ohioans Without Health Insurance

By Ron Calhoun

A proposed policy by the Ohio Department of Medicaid could strip health insurance from an estimated 61,826 residents if new work requirements are enacted. Critics warn the move will disproportionately harm vulnerable populations, creating significant barriers to healthcare access across the state.

Under the proposed rules, Medicaid recipients aged 19 to 55 must demonstrate employment or participation in qualifying activities to maintain their health coverage. Experts argue that while exemptions exist for individuals over 55, those with significant physical or mental health conditions, and participants in certain programs may introduce unnecessary administrative burdens and fail to achieve the stated goals of increasing employment or improving health outcomes.

Kathryn Poe, a researcher with Policy Matters Ohio, testified before the Department of Medicaid, outlining the potential harm these changes could bring. “Work requirements have consistently shown that they lead to coverage losses, not better health or employment outcomes,” Poe stated. “Ohioans who are already struggling to make ends meet will be forced to navigate complex systems just to maintain their access to healthcare.”

For Cleveland residents, the implications are dire. Many individuals and families who rely on Medicaid for essential health services may face abrupt disruptions in care, leading to worsened health outcomes and increased financial strain.

“This policy doesn’t account for the barriers many face, such as inconsistent employment, caregiving responsibilities, or unaddressed mental health challenges,” said a local healthcare advocate. “Instead of offering support, it creates hurdles that push people out of the system.”

Communities in Northeast Ohio, already grappling with significant health disparities, are particularly vulnerable. The policy risks leaving thousands without access to necessary treatments, medications, and preventive care, exacerbating existing inequities.

The Ohio Department of Medicaid is currently seeking public feedback on the proposed requirements. Residents are encouraged to submit their comments via email to [email protected] by January 21 at 5 p.m.

Policy Matters Ohio is also hosting a webinar to educate the public about the proposal and provide guidance on crafting effective public comments. Interested individuals can find more information on their website or by contacting their office.

“This is a critical moment for Ohioans to raise their voices,” Poe emphasized. “These decisions will impact families, neighbors, and friends. Public input is essential to ensure policies serve the best interests of our communities.”

Submit Comments: Share your concerns by emailing [email protected].

Attend a Webinar: Learn more about the proposal and how to submit a public comment by participating in a webinar hosted by Policy Matters Ohio.

The proposed Medicaid work requirements have reignited debates about healthcare access and equity. Critics argue that such policies overlook the complexities of people’s lives, punishing those in need rather than providing meaningful solutions.

“This isn’t just about numbers,” the healthcare advocate added. “It’s about real people—parents, workers, and individuals with chronic conditions—who are being asked to jump through hoops to access the care they need to survive.”

As the public comment deadline approaches, the stakes remain high for thousands of Ohioans. Residents have until January 21 to make their voices heard and influence the future of healthcare in the state.