The question of whether former President Donald Trump got rid of Medicaid is complex and requires an understanding of the healthcare policies implemented during his presidency. Medicaid, a joint federal-state program, provides health coverage to low-income individuals, including children, parents, pregnant women, seniors, and people with disabilities. The Affordable Care Act (ACA), also known as Obamacare, significantly expanded Medicaid eligibility in 2014, allowing more people to qualify for the program.
Trump Administration’s Healthcare Policies

Upon taking office, President Trump and his administration sought to repeal and replace the ACA, which included the Medicaid expansion. However, their efforts were met with significant resistance from Democrats and some Republicans in Congress. Despite the lack of a full repeal, the Trump administration implemented several policies that affected Medicaid and the ACA.
Work Requirements for Medicaid
One notable policy change was the introduction of work requirements for Medicaid recipients in certain states. The Trump administration approved waivers for several states to implement these requirements, which mandated that able-bodied adults work, volunteer, or participate in job training for a specified number of hours per week to remain eligible for Medicaid. Critics argued that these requirements would lead to thousands of people losing their health coverage, while proponents saw them as a way to promote employment and self-sufficiency.
| State | Work Requirement Details |
|---|---|
| Arkansas | 80 hours of work, volunteering, or job training per month |
| Indiana | 20 hours of work, volunteering, or job training per week |
| Kentucky | 80 hours of work, volunteering, or job training per month |

Impact of Trump’s Policies on Medicaid

Although President Trump did not completely eliminate Medicaid, his administration’s policies had a significant impact on the program. The introduction of work requirements, the expansion of short-term limited-duration insurance plans, and the reduction of funding for outreach and enrollment efforts all contributed to a decline in Medicaid enrollment. According to a report by the Kaiser Family Foundation, Medicaid enrollment declined by 1.9 million people between December 2017 and December 2019.
Medicaid Expansion and the 2020 Election
The 2020 presidential election brought renewed attention to Medicaid expansion and the future of the ACA. President Biden’s administration has taken steps to reverse some of the Trump-era policies, including the introduction of work requirements for Medicaid. The Biden administration has also expanded the open enrollment period for the ACA and increased funding for outreach and enrollment efforts.
Key Points
- The Trump administration did not completely eliminate Medicaid, but implemented policies that affected the program.
- Work requirements for Medicaid were introduced in several states, leading to controversy and legal challenges.
- Medicaid enrollment declined by 1.9 million people between December 2017 and December 2019.
- The Biden administration has taken steps to reverse some of the Trump-era policies and expand Medicaid coverage.
- The future of Medicaid and the ACA remains a topic of ongoing debate and negotiation in Washington, D.C.
In conclusion, while President Trump did not get rid of Medicaid, his administration's policies had a significant impact on the program. The introduction of work requirements, the expansion of short-term limited-duration insurance plans, and the reduction of funding for outreach and enrollment efforts all contributed to a decline in Medicaid enrollment. As the healthcare landscape continues to evolve, it is essential to consider the complex interplay between policy, politics, and the needs of low-income individuals and families who rely on Medicaid for their healthcare needs.
What were the main policies implemented by the Trump administration that affected Medicaid?
+The Trump administration introduced work requirements for Medicaid in several states, expanded short-term limited-duration insurance plans, and reduced funding for outreach and enrollment efforts.
How did Medicaid enrollment change during the Trump administration?
+Medicaid enrollment declined by 1.9 million people between December 2017 and December 2019, according to a report by the Kaiser Family Foundation.
What steps has the Biden administration taken to address Medicaid and the ACA?
+The Biden administration has taken steps to reverse some of the Trump-era policies, including the introduction of work requirements for Medicaid, and has expanded the open enrollment period for the ACA and increased funding for outreach and enrollment efforts.