President Donald Trump’s “big beautiful bill,” enacted in July, requires adults ages 19 to 64 who rely on Medicaid for health coverage to meet certain work requirements.
One notable group exempt from those changes is qualifying family caregivers.
About 7.3 million family caregivers ages 18 to 64 were Medicaid beneficiaries in 2025, out of 63 million total caregivers in the U.S. that year, according to data from the AARP, a nonprofit, nonpartisan organization that advocates for Americans ages 50 and over.
Both affected beneficiaries and the states responsible for implementing the changes have some time before the One Big Beautiful Bill Act provisions go into effect.
States have until Jan. 1, 2027, to adopt the new work requirements.
