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Medicaid enrollees fear losing health coverage if Congress enacts work requirements

  • The U.S. House passed a bill last month requiring many Medicaid enrollees to work, volunteer, or attend school at least 80 hours monthly to keep coverage.
  • This bill, part of President Trump's 'Big Beautiful' plan, seeks to cut spending and impose administrative requirements that opponents say risk coverage losses.
  • States like South Dakota propose work rules with exemptions for disabilities or caregiving, but advocates warn of complexity and unintentional benefit losses.
  • About 71 million adults have Medicaid, and estimates suggest 5 million could lose coverage, with 80% of recipients already working or qualifying for exemptions.
  • If enacted, the bill could increase uninsured rates and strain vulnerable populations, while its Senate passage remains uncertain amid ongoing budget negotiations.
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South Dakota Searchlight broke the news in on Thursday, June 12, 2025.
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