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Some conservative states aren’t using Medicaid hardship exemption – for political reasons

Source: Guardian World · Oct 18, 2026 12:00 UTC

Hospital imaging equipment in an empty procedure room — File photo Carol M. Highsmith / Library of Congress · Public domain · Source

The Quick Take

States like Missouri and Iowa are choosing to not take up exemption designed to help low-income people keep coverage during hardship Some conservative states that have rejected hardship exemptions for the new Medicaid requirements may be choosing not to due to political reasons, experts say. New federal work requirements for Medicaid, slated to come into effect on 1 January, mean that adults enrol

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