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The Trump administration made work requirements for low-income people receiving government assistance a priority in 2025.

The departments of Health and Human Services, Agriculture and Housing and Urban Development have worked to usher in stricter employment conditions to receive healthcare, food aid and rental assistance benefits funded by the federal government.

The idea is that public assistance discourages optimal participation in the labor market and that imposing work requirements not only leads to self-sufficiency, but also benefits the broader economy.

“It strengthens families and communities as it gives new life to start-ups and growing businesses,” the Cabinet secretaries wrote in a New York Times essay in May about work requirements.

Yet many economists say there is no clear evidence such mandates have that effect. There’s concern these new policies that make benefits contingent on work could ultimately come at a cost in other ways, from hindering existing employment to heavy administrative burdens or simply proving unpopular politically.

Here is a look at how work requirements could affect the millions of people who rely on the Supplemental Nutrition Assistance Program (SNAP), Medicaid and HUD-subsidized housing:

SNAP

What President Trumprefers to as his “Big Beautiful Bill” in July expanded the USDA’s work requirements policy for SNAP recipients who are able-bodied adults without dependents.

Previously, adults older than 54, as well as parents with children under age 18, at home were exempted from SNAP’s 80-hours monthly work requirement. Now, adults up to age 64 and parents of children between the age of 14 and 17 have to prove they’re working, volunteering or job training if they are on SNAP for more than three months.

The new law also cuts exemptions for people who are homeless, veterans and young people who have aged out of foster care. There are also significant restrictions on waivers for states and regions based on how high the local unemployment rates are.

The Pew Research Center, citing the most recent census survey data from 2023, notes 61% of adult SNAP recipients had not been employed that year, and that the national average benefit as of May was $188.45 per person or $350.89 per household.

Ismael Cid Martinez, an economist at the Economic Policy Institute, said the people who qualify for SNAP are likely working low-wage jobs that tend to be less stable because they are more tied to the nation’s macroeconomics. That means when the economy weakens, it’s the low-wage workers whose hours are cut and jobs are eliminated, which in turn heightens their need for government support. Restricting such benefits could threaten their ability to get back to work altogether, Martinez said.

“These are some of the matters that tie in together to explain the economy and [how] the labor market is connected to these benefits,” Martinez said. “None of us really show up into an economy on our own.”

Angela Rachidi, a researcher at the conservative think tank American Enterprise Institute, said she expects the poverty rate to decline as a result of the work requirements but even that wouldn’t ultimately affect the labor force.

“[E]ven if every nonworking SNAP adult subject to a work requirement started working, it would not impact the labor market much,” Rachidi said by email.

Medicaid

Trump’s big bill over the summer also created new requirements, starting in 2027, for low-income 19- to 64-year-olds enrolled in Medicaid through the Affordable Care Act’s Medicaid expansion or through a waiver program to complete 80 hours of work, job training, education or volunteering per month. There are several exemptions, including for those who are caregivers, have disabilities, have recently left prison or jail or are pregnant or postpartum.

The nonpartisan Congressional Budget Office has predicted that millions of people will lose healthcare because of the requirements.

Nationally, most people on Medicaid already work. The majority of experts on a Cornell Health Policy Center panel said that new national requirements won’t lead to large increases in employment rates among working adults on Medicaid, and that many working people would lose healthcare because of administrative difficulties proving they work.

Georgia is currently the only state with a Medicaid program that imposes work requirements, which Gov. Brian Kemp created instead of expanding Medicaid. The program, called Georgia Pathways, has come under fire for enrolling far fewer people than expected and creating large administrative costs.

Critics say many working people struggle to enroll and log their hours online, with some getting kicked out of coverage at times because of administrative errors.

And research released recently from the United Kingdom-based research group BMJ comparing Georgia with other states that did not expand Medicaid found Georgia Pathways did not increase employment during the first 15 months, nor did it improve access to Medicaid.

Kemp’s office blames high administrative costs and startup challenges on delays because of legal battles with former President Biden’s administration. A spokesperson said 19,383 Georgians have received coverage since the program began.

HUD

HUD in July also proposed a rule change that would allow public housing authorities across the country to institute work requirements, as well as time limits.

In a leaked draft of that rule change, HUD spells out how housing authorities can choose to opt in and voluntarily implement work requirements of up to 40 hours a week for people getting rental assistance, including adult tenants in public housing and Section 8 voucher-holders.

HUD also identified two states — Arkansas and Wisconsin — where it could trigger implementation based on existing state laws if and when the HUD rule change is approved. The proposal remains in regulatory review and would be subject to a public comment period.

HUD spokesman Matthew Maley declined to comment on the leaked documents, which broadly define the age of work-eligible people being up to age 61, with exemptions for people with disabilities and those who are in school or are pregnant. Primary caregivers of disabled people and children under 6 years old are also exempted.

HUD’s proposed rule change also notes that it is only defining the upper limits of the policy, allowing flexibility for local agencies to further define their individual programs with additional exemptions.

In a review of how housing authorities have tested work requirements over time, researchers at New York University found few successful examples, noting only one case where there were modest increases in employment — in Charlotte, N.C. — as compared to seven other regions where work requirements were changed or discontinued “because they were deemed punitive or hard to administer.”

Ho and Kramon write for the Associated Press.

SACRAMENTO — Gov. Gavin Newsom on Monday announced a new California-led public health initiative, tapping former U.S. Centers for Disease Control and Prevention officials who publicly clashed with the Trump administration, including the former agency chief who warned that the nation’s public health system was headed to “a very dangerous place.”

Newsom said the initiative will be led by Dr. Susan Monarez, the former CDC director, and Dr. Debra Houry, the CDC’s former chief medical officer. The pair will lead the Public Health Network Innovation Exchange, or PHNIX, which the governor’s office said will “modernize public health infrastructure and maintain trust in science-driven decision-making.”

The initiative was created to improve the systems that detect and investigate public health trends and build a modern public-health backbone that connects data, technology and funding across states.

“The Public Health Network Innovation Exchange is expected to bring together the best science, the best tools, and the best minds to advance public health,” Newsom said in a statement Monday. “By bringing on expert scientific leaders to partner in this launch, we’re strengthening collaboration and laying the groundwork for a modern public health infrastructure that will offer trust and stability in scientific data not just across California, but nationally and globally.”

Monarez will serve as strategic health technology and funding advisor for the initiative, helping advance private sector partnerships to better integrate healthcare data systems and enable faster disease surveillance.

“I am deeply excited to bring my experience in health technology and innovation to support PHNIX,” Monarez said in a statement shared by Newsom’s office. “California has an extraordinary concentration of talent, technology, and investment, and this effort is about putting those strengths to work for the public good — modernizing how public health operates, accelerating innovation, and building a healthier, more resilient future for all Californians.”

Houry was named senior regional and global public health medical advisor for PHNIX. Newsom’s office also announced it will work with Dr. Katelyn Jetelina, founder and chief executive of Your Local Epidemiologist. Jetelina will advise the California Department of Public Health on building trust in public health.

Monarez and Houry both described extraordinary turmoil inside the nation’s health agencies during congressional hearings, telling senators in September that Health and Human Services Secretary Robert F. Kennedy Jr. and political advisors rebuffed data supporting the safety and efficacy of vaccines. Monarez was fired after just 29 days on the job. She said Kennedy told her to resign if she did not sign off on new unsupported vaccine recommendations. Kennedy has described Monarez as admitting to him that she is “untrustworthy,” a claim Monarez has denied through her attorney.

“Dramatic and unfounded changes in federal policy, funding, and scientific practice have created uncertainty and instability in public health and health care,” Dr. Erica Pan, CDPH director and state public health officer, said in a statement. “I am thrilled to work with these advisors to catalyze our efforts to lead a sustainable future for public health. California is stepping up to coordinate and build the scaffolding we need to navigate this moment.”

The salaries of the new positions were not immediately known.

Newsom’s office said the California initiative would build on previously announced public health partnerships, such as the West Coast Health Alliance.