
How Medicaid’s New Work Requirement Will Work
Poor Americans will face new challenges to enroll, and states will have to build new bureaucracies.
By Margot Sanger-Katz and Sarah Kliff
I write about how government influences the American health care system — and the ways that affects all of our health and finances. Because health care is among the largest sources of government spending, I also write about the federal budget and efforts to change it.
I am interested in taking complicated (what some people might call boring) subjects and trying to make them understandable. That means I often collaborate with colleagues who are experts in graphics to help tell stories with data. It also means I sometimes employ elaborate metaphors — or deconstruct the metaphors that politicians use.
I have written about health care for The Times for more than a decade. I have also covered local government, national politics, the law and higher education.
Before coming to The Times, I was a reporter at National Journal and The Concord Monitor and an editor at Legal Affairs and the Yale Alumni Magazine. In 2014, I completed a Knight-Bagehot Fellowship in Economics and Business Journalism at Columbia University. I was part of a team that won a Pulitzer Prize and a Polk Award in 2025 for reporting on opioid overdose deaths among older Black men in American cities.
All Times journalists are committed to upholding the standards of integrity outlined in our Ethical Journalism Handbook. I work hard to ensure that my reporting is accurate and fair, representing a range of viewpoints. I don’t accept gifts from sources, and I don’t invest in individual companies or donate to political causes.
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Poor Americans will face new challenges to enroll, and states will have to build new bureaucracies.
By Margot Sanger-Katz and Sarah Kliff

New work requirements are expected to leave millions of poor Americans uninsured. For Equifax, which charges states steep prices for its trove of employment data, it is a business opportunity.
By Sarah Kliff, Margot Sanger-Katz and Asmaa Elkeurti

Enrollment for A.C.A. health coverage begins Nov. 1, with some staggering price increases. Here is a guide to help you choose a plan while Congress is at an impasse over tax credits.
By Reed Abelson and Margot Sanger-Katz

The new prices make it official: Americans will need to pay more for insurance next year if extra subsidies are allowed to expire.
By Margot Sanger-Katz and Alicia Parlapiano

The government website now shows consumers how much their health insurance costs will increase next year, as Congress remains at an impasse over the plans’ subsidies.
By Reed Abelson and Margot Sanger-Katz

As more than one million government employees go without pay, many are turning to side jobs and food banks to make ends meet.
By Eileen Sullivan and Drew Atkins

Consumers are facing greater costs for their 2026 A.C.A. health coverage as Congress continues to debate whether to extend subsidies that help people afford their premiums. Margot Sanger-Katz, a health care policy reporter for The New York Times, explains why.
By Margot Sanger-Katz, Laura Bult, Claire Hogan, Zach Wood and Stephanie Swart

The main difference is that most Americans don’t confront the full cost of their coverage.
By Reed Abelson and Margot Sanger-Katz

Consumers are facing greater costs for their 2026 A.C.A. health coverage as Congress continues to debate whether to extend subsidies that help people afford their premiums.
By Reed Abelson and Margot Sanger-Katz

The president announced a deal with a pharmaceutical company aimed at reducing costs among a suite of plans.
By Caroline Kitchener, Tyler Pager, Rebecca Robbins and Sarah Kliff