Work requirements could transform Medicaid and food aid under US budget bill
- The House of Representatives approved a budget proposal supported by President Donald Trump that will introduce new work requirements for Medicaid recipients and food assistance programs starting next year.
- The bill aims to reduce government spending by requiring Medicaid recipients under 65 and certain food aid beneficiaries to work, volunteer, or attend school, with provisions possibly revised in the Senate.
- The Congressional Budget Office estimates the bill would reduce health coverage by 8.6 million people over a decade and risk 6 million adults losing Supplemental Nutrition Assistance Program benefits.
- Supporters say the bill saves money, eliminates waste, and encourages responsibility, while opponents warn it could wrongly remove eligible people and harm rural hospitals and services like Planned Parenthood.
- The bill also cuts funding for abortion providers and gender-affirming care, and penalizes states that serve immigrants without legal status, prompting some states to limit enrollment to balance budgets.
228 Articles
228 Articles


Federal action could make SD’s Medicaid work requirements ‘an exercise in futility,’ official says
South Dakota’s proposal to implement work requirements for Medicaid expansion could be “an exercise in futility” now that the federal government is also considering it, said state Department of Social Services Secretary Matt Althoff. The state began drafting its proposal immediately following the end of the state legislative session in March, Althoff said, before debates about work requirements heated up at the congressional level. Department of…
There’s no evidence work requirements for Medicaid recipients will boost employment, but they are a key piece of Republican spending bill
Work requirements for receiving government benefits have a long history. FatCamera/E+ via Getty Images by olin Gordon, University of Iowa Republicans in the U.S. Senate are sparring over their version of the multitrillion-dollar budget and immigration bill the House of Representatives passed on May 22, 2025. Some GOP senators are insisting on shrinking the budget deficit, which the House version would increase by about US$3.8 trillion over a de…
Medicaid and Work Testing Requirements. State Budget and YDC Compensation Fund.
Thousands of people in New Hampshire could lose access to health insurance under a bill proposed in Congress. The bill would require people on Medicaid to provide proof of employment.
If Medicaid gets cut, what happens to its patients?: The Wake Up for Wednesday, May 28, 2025
Experts say that pushing more than 7 million people off the Medicaid rolls will increase death rates, cause later stage disease diagnosis, and threaten hospitals’ bottom line, reports Sabrina Eaton. Studies examining mortality and disease rates of millions who obtained Medicaid coverage under the Affordable Care Act prove the case.
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