In July, Congressional Democrats failed to stop Republicans from passing a tax-and-spending bill that requires 40 states and D.C. to institute Medicaid work requirements. “Maybe they got sicker, maybe they died because of this decision.”Do ‘work requirements’ in Medicaid work? Trying to make Medicaid work requirements…workIn some ways, Michigan was actually better positioned than other states to implement work requirements, Gordon said. It was Robert Gordon’s job to set up Medicaid work requirements in Michigan, and he hates work requirements. Now, in 2025, Congress and President Trump have changed the law, saying that Medicaid work requirements will reduce waste, fraud and abuse.