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Work requirements could transform Medicaid and food aid under US budget bill

  • The House of Representatives passed a budget bill on May 22, 2025, that would impose work requirements on Medicaid and food aid nationwide starting next year.
  • This legislation aims to reduce federal spending by requiring most able-bodied Medicaid enrollees under 65 to work, volunteer, or attend school to keep coverage, and raise work rules for food assistance recipients, though provisions may change in the Senate.
  • Approximately 8% of adult Medicaid participants—about 5 million individuals—are projected to lose their coverage, while modifications to food assistance programs could threaten Supplemental Nutrition Assistance Program benefits for around 6 million adults.
  • Supporters say the measures will reduce waste and encourage personal responsibility, whereas critics warn increased checks may wrongly remove people and harm rural hospitals and vulnerable groups, including immigrants and transgender individuals.
  • The bill also cuts funding for abortion services and Planned Parenthood, which warns a ban on Medicaid funds could close one-third of its health centers, while states covering undocumented immigrants face federal penalties, leading some like California to freeze new enrollments.
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The Keystone broke the news in on Tuesday, May 20, 2025.
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