There's various exceptions built into those programs.   Age limits, for example between age 19 to 55 are the work requirement group.   Other exceptions include: full time students, people with caregiving responsibilities, pregnant women, people with disabilities, etc.  

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Of course, only folks with very low income are eligible for Medicaid.  And the proposed rules will exclude non-citizens, and thus impacting illegal immigrants.   

All these are loaded political issues, and the Dems are fighting very hard against the funding savings which are being proposed, -- by reducing eligibility, reducing participants, and thus saving funding.  

Most folks in Ocean Pines would be excluded, because of incomes higher than the Medicaid restrictions, and/or age beyond 55 years for the work requirement.