Native Hawaiians not exempt from Medicaid work rules

Native Hawaiians are not exempt from Medicaid work rules because they are not among the 575 federally recognized tribes. Out of the nearly 700,000 Native Hawaiians living across the United States, approximately 47% reside in Hawaii. This lack of federal tribal recognition means they must adhere to the standard work requirements associated with Medicaid eligibility, unlike members of recognized tribes who may receive specific exemptions from these federal mandates regarding their healthcare coverage.