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GOP Leaders Poised to Accelerate Medicaid Work Requirements in Trump Agenda Bill

  • The U.S. House passed a budget bill in 2025 that includes Medicaid work requirements, requiring certain adults to report 80 work hours monthly by December 31, 2026.
  • This effort builds on state-level pilots since the 1980s and experiences in Arkansas and New Hampshire, where work requirements caused coverage losses without increasing employment.
  • Supporters claim work rules encourage able-bodied adults without dependents to join the workforce, while opponents warn of administrative burdens and harm to vulnerable populations.
  • Analyses project 1.5 million people could lose Medicaid eligibility and 600,000 could become uninsured nationwide, with no net gain in employment expected.
  • The proposed rules may worsen healthcare access and increase uncompensated care costs, prompting concerns about patient and system disruption from advocates and experts.
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Axios broke the news in Washington, United States on Wednesday, May 14, 2025.
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