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Work requirements for state Medicaid sent to Gov. Reynolds

  • On May 15, 2025, Iowa lawmakers passed a bill codifying an 80-hour monthly Medicaid work requirement in Des Moines, while Governor Reynolds submitted a related federal waiver.
  • This action follows broader Republican efforts in the House to add work requirements to Medicaid and SNAP as part of a budget reconciliation plan aiming to reduce deficits and offset 2017 tax cuts.
  • The House Energy and Commerce Committee is reviewing legislation that would impose community engagement mandates on able-bodied adults without dependents and increase eligibility verification frequency amid protests opposing these changes.
  • The Congressional Budget Office estimates the committee's recommendations will cut $880 million from deficits between 2025 and 2034 but could result in 8.6 million fewer insured Americans by 2034, with Democrats warning of barriers to healthcare access.
  • Supporters argue work requirements encourage employment and preserve program integrity, while critics say most able-bodied Medicaid recipients already work and the policies may increase healthcare inequality and cost burdens for states and individuals.
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Washington Examiner broke the news in Washington, United States on Tuesday, May 13, 2025.
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