No-but most artists seem to be employed by the state. A quick google search shows a number of artists-or cultural types: librarians also get the medal, actors, radio actors/announcers, painters and sculptors , musicians and dancers who have this medal and are about 35-55 years of age. Most seem to be active or quasi active party members or active in affiliated unions/groups. Pretty much every obscure artist I can locate on the web from Cuba has this medal, so long as they've kept their nose clean. The medal is apparently awarded by the Union of Cultural workers".