This is the 30th anniversary of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. This law sought to lift people out of poverty and get people working in order to better their circumstances. For the first several years, this effort worked. However, welfare programs are in need of more reform as fraud, waste, and abuse are eroding vital resources. Let’s see if you can spot the lie!
A. Medicaid is the largest welfare program, and enrollment and spending continue to increase.
B. Most welfare spending is mandatory and cannot be changed through the appropriations process.
C. The majority of able-bodied adults on welfare programs work and report income; it is only a few fraudsters who work loopholes around work requirements.
A. TRUTH! Medicaid is the largest welfare program, funded mostly by the federal government. With total Medicaid spending reaching $957 billion, the federal government funds 65% of the costs. Since FY2014, Medicaid spending has increased by 92% while enrollment has increased 35%. States face an incentive to increase enrollment in their Medicaid programs due to the matching structure in the federal funding. For each dollar a state government spends on its beneficiaries, the federal government matches between $1 and $9. Medicaid makes up 20% of improper payments across all government agencies, totalling $37 billion for FY2025.
B. TRUTH! Only 15% of welfare programs are managed by Congress through appropriations or are classified as discretionary spending. The U.S. spends over $1 trillion annually on over 80 anti-poverty programs, and 85% of that spending is continuous and automatic through mandatory spending. As states have an incentive to increase enrollment and programs often include inflation protection, this spending only increases each year unless a law is changed. Even if participation decreases in welfare programs, spending continues to rise as programs expand and fraud and abuse ramp up.
C. LIE! Despite many welfare programs requiring able-bodied adults to work in order to continue receiving benefits, most recipients are not participating in the workforce. Nearly two out of three able-bodied working-age adults enrolled in SNAP are out of the workforce. Over 60% of able-bodied adults on Medicaid reported no earned income, as the federal program did not have work requirements. Only 21% of TANF recipients are working, despite the program having work requirements. Able-bodied individuals become reliant on government funding and do not work in order to change their circumstances.
Bottom Line:
Welfare programs are vital for families and individuals who truly need assistance. However, the original intent of these programs suffers from eroding work requirements and fraudulent and wasteful spending. Congress must fight fraud in welfare programs, enforce strict work requirements, and verify eligibility to reduce improper spending.
To learn more, read the Policy Focus: Reforming Welfare to Fight Fraud and Promote Independence.

