key takeaway
Republican budget proposals would impose harsh and ineffective “work requirements” that restrict access to health care, food, and other necessities for millions of Americans. These “work requirements” are just paperwork barriers, not solutions. Federal policymakers should reject them.
All Californians, no matter their race, gender, or zip code, deserve to have affordable health care, housing, food, and other necessities that allow them to thrive in their communities. But Republican federal budget proposals would pave the way for deep and harmful cuts that would take health coverage, nutrition assistance, and other essentials away from millions of Californians struggling to make ends meet due to persistently high inflation and the state’s long-standing housing affordability crisis. These cuts would increase poverty and widen racial and ethnic inequities in exchange for funding huge tax giveaways for the wealthy.
One way Republican leaders may implement this deeply inequitable agenda is by making access to vital services contingent upon complying with rigid “work requirements” — rules that require regular documentation of work hours. Such proposals are ineffective, punitive, counterproductive, and a waste of federal funds. Research shows that these requirements don’t meaningfully or sustainably increase employment or earnings. Instead, they take health care, food, and other vital resources away from families and individuals in need — disproportionately Black people and other people of color — by adding unnecessary paperwork and work reporting hurdles to receive the support they need. “Work requirements” — more accurately, paperwork or work reporting requirements — increase hardship and make it even more challenging to maintain or find jobs. Policymakers should reject all proposals to impose work reporting requirements, recognizing them for what they are — harmful cuts that threaten the health and well-being of the communities they represent.
what are “work requirements?”
“Work requirements” — more accurately, paperwork or work reporting requirements — withhold essential services and support unless individuals can regularly document time spent working or engaged in certain activities, or else prove they are exempt from these requirements. These rigid reporting rules often trip people up on red tape, causing them to lose access to health care, food, and other essential human needs that they are otherwise eligible for and that all people deserve. To refer to these rules, this report interchangeably uses the term “work reporting requirements” and the more common term “work requirements” (in quotations to indicate that such requirements largely impose paperwork burdens).
“Work Requirements” Are Unnecessary, Ineffective, Punitive, Counterproductive, and a Waste of Money
Republican-led proposals to impose new or harsher work reporting requirements are simply harmful cuts by another name. Rather than fostering economic mobility as proponents claim, these requirements threaten to push families and individuals deeper into poverty by withholding health care, food assistance, and other vital support. This report makes clear that “work requirements” are:
- Unnecessary. Most people who are likely to be targets of such requirements already do work for pay, while the remainder are engaged in valuable — but unpaid — caregiving work, attending school to improve their employment prospects, or are ill, disabled, retired, or between jobs.
- Ineffective. They fail to meaningfully or sustainably increase employment or earnings. Instead, their main effect is to take vital assistance away from people in need. Consequently, they have little to no effect on economic mobility, and may even drive some families and individuals deeper into poverty.
- Punitive. Forcing workers to regularly document work hours increases administrative bureaucracy and often trips people up on red tape, causing them to lose access to vital benefits. Complying with these onerous requirements can be especially difficult for workers paid low wages who lack control over fluctuating work hours or have employers who are unwilling to verify their employment.
- Counterproductive. They fail to address the fundamental barriers that prevent so many people from meeting basic needs, including a racially discriminatory labor market rife with low-paying jobs and the lack of affordable child care that is necessary to work. Plus, taking away people’s health care or ability to afford food only makes it harder for them to maintain employment and make ends meet.
- A waste of money. Implementing and enforcing “work requirements” is costly and wastes funds that would be far better spent on services and supports that actually improve the lives of all people.
Research Shows that “Work Requirements” Simply Don’t Work
“Work requirements” are already part of several social safety net programs, but research into those policies has consistently shown that they do not increase employment opportunities in the long run or decrease “program dependence.” Instead, these policies lead to participants being pushed out of programs and are tied to increases in deep poverty. Specifically, research finds that “work requirements:”
- Don’t meaningfully or sustainably increase employment or earnings.
- Cause people to lose access to vital assistance.
- Fail to address the root causes of poverty and, particularly, deep poverty.
Adding More Hurdles for Accessing Medicaid Would Harm People’s Health and the Economy
Medi-Cal is California’s Medicaid program that provides free or low-cost health care to over one-third of the state’s population. The program serves individuals with modest incomes, including children, seniors, people with disabilities, and pregnant individuals. Medi-Cal is a lifeline for millions, ensuring access to essential health services that support public health and economic stability.
Medi-Cal coverage is essential to building and sustaining a stable workforce in California, especially because many low-wage jobs do not offer employer-sponsored health insurance and do not pay enough for people to afford coverage through Covered California, the state’s health insurance marketplace established under the Affordable Care Act. Ensuring access to Medi-Cal not only promotes individual health but also strengthens the state’s economy by supporting worker productivity.
Despite the critical role Medi-Cal plays, Congressional Republicans and the Trump administration have pushed for Medicaid “work requirements,” a policy that would make it harder for people to stay covered by tying health insurance to employment. Medicaid work reporting requirements are essentially cuts that would cause significant health coverage losses. Such proposals would require Medicaid beneficiaries to prove they are working, looking for work, or participating in job training programs in order to maintain coverage. Imposing such requirements in Medicaid would be:
- Unnecessary: Most Medicaid enrollees under age 65 are already working (for pay). In California, over 3 in 5 adults work full-time or part-time (for pay). Among those who are not employed for pay, many are providing unpaid care for family members — an essential form of labor that sustains families and communities, yet is often overlooked by work reporting requirements. Others are managing illness or disability, or are enrolled in school.
- Ineffective: Research consistently shows work reporting requirements are an ineffective policy tool that fail to increase employment. Instead, they create bureaucratic hurdles that cause people to drop off Medicaid — particularly people with disabilities, caregivers, and those working in unstable or low-wage jobs. Many enrollees who meet the work criteria still risk losing coverage due to administrative barriers, such as difficulty completing complex paperwork, missing deadlines, or lacking the necessary documents to prove eligibility.
- Punitive: If implemented, “work requirements” would put over 8 million people in California at risk of losing their health coverage. (See this resource for details on the impact by congressional district.) Health coverage losses on this scale would have devastating effects on people’s health and economic security as well as the broader economy.
- Counterproductive: Without coverage, people would struggle to see doctors, get medications, and access preventive care, leading to more severe health problems and even medical debt. At the same time, hospitals and clinics, especially in low-income and rural areas, would face higher costs for unpaid care, putting financial strain on local health systems. Imposing “work requirements” would also make it harder for people to maintain employment, particularly people with chronic illnesses, such as diabetes and heart disease, who need regular access to health care to manage their conditions.
- A Waste of Money: Implementing and enforcing work reporting requirements in Medicaid would be costly. The Government Accountability Office estimates that administrative costs can range from millions to hundreds of millions per state. These funds would be better spent on improving access to health care services in Medi-Cal rather than on unnecessary bureaucratic hurdles that take health coverage away.
“Work requirements” undermine the very purpose of Medicaid: it is health insurance, not a jobs program.
Imposing Harsher Time Limits in SNAP/CalFresh Would Cut Benefits for Many and Increase Hunger
CalFresh, California’s name for the Supplemental Nutrition Assistance Program (SNAP), provides program participants with modest monthly noncash benefits to buy food and is the state’s most powerful tool to fight hunger. At the federal level, SNAP requires participants between the ages of 18 and 54 who do not qualify for limited exemptions to meet work reporting requirements in order to receive aid beyond a very limited window of time. In effect, this policy imposes a harsh time limit on access to SNAP that pushes participants off benefits after three months.
Despite the extensive body of research showing that “work requirements” take food away from those who need it and do not have lasting effects on employment, Republican leaders continue to push forward proposals to expand already rigid time limits enforced through work reporting requirements for SNAP recipients. Recent proposals for harsher time limits would specifically target older adults, people experiencing homelessness, foster youth who have aged out of the system, and veterans, increasing hardship among these communities who already face disproportionate challenges to meet work reporting requirements and struggle to make ends meet. “Work requirements” for SNAP are a failed experiment that have proven to be:
- Unnecessary: The majority of SNAP recipients who can work already do. Over 3 in 4 adults who participated in CalFresh in a given month had recent paid employment. Those who cannot work are limited by significant barriers to employment, such as disability or macroeconomic conditions outside their control, like a lack of job opportunities. Additionally, many recipients who did not have paid employment reported having unpaid caretaking responsibilities that prevented them from working in a traditional setting, highlighting the limitations of work reporting requirement policies in recognizing essential unpaid labor.
- Ineffective: Work reporting requirements do not increase work participation, they just increase hunger. Research has extensively shown that work reporting requirements create barriers that ultimately take away critical assistance from people in need. This is especially true for people experiencing homelessness and people with disabilities.
- Punitive: Proposals to impose harsher time limits via “work requirements” and limit key exemptions are grounded on the false narrative that people should earn the right to eat. Many SNAP recipients have low-wage and unstable jobs that are characterized by irregular schedules. This type of precarious work means that sometimes people may not be able to meet specific work hour requirements if their hours are cut or they miss work due to illness. Work reporting requirements punish recipients for not having quality jobs with predictable hours and benefits, without addressing the root causes of these issues.
- Counterproductive: Food assistance is a key support for people to work and contribute to their communities. Being well-fed and having access to adequate nutrition is essential to staying healthy, reducing the risk of chronic illness, and increasing academic achievement and labor productivity. SNAP benefits also provide significant economic benefits to local economies, with each dollar in benefits generating a $1.54 return and helping fund jobs, as well as helping to reduce poverty. Harsher time limits would diminish the effectiveness of one of the strongest antipoverty programs and have long-term economic consequences for everyone.
Rejecting the expansion of already stringent SNAP time limits is necessary to ensure low-income families will continue to be able to access the healthy food they need.
- False Narratives Rooted in Racism and Sexism Are Used to Justify “Work Requirements” and Only Further Entrench Inequities
- The Evidence Is Clear: “Work Requirements” Are a Failed Experiment
Policymakers Should Reject Proposals to Impose “Work Requirements” that Just Add Bureaucratic Burdens
As Republicans in Congress push to make it more difficult for Californians to access health care, nutrition assistance, and other anti-poverty programs, it’s important to call these what they are: harmful bureaucratic burdens. Rather than fostering economic mobility, these layers of paperwork threaten to take away health care, food, and other essentials that all people need to thrive. These Republican proposals fail to improve affordability and, combined with the proposed tax cuts for the wealthy, will only deepen inequality across the country. Policymakers should reject these proposals, recognizing them for what they are — harmful cuts that jeopardize the health and well-being of the communities they represent.