Where jobs are scarce, over 1 million people could dodge Trump’s Medicaid work rules

Millions of Medicaid enrollees may have a way out of the new federal work requirement — if they live in a county with high unemployment.

By January 2027, President Donald Trump’s far-reaching domestic policy law will require many adult, nondisabled Medicaid enrollees in 42 states and Washington, D.C., to work or volunteer 80 hours a month or go to school.