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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.
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National Health Law Program broke the news in on Tuesday, May 20, 2025.
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