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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 Thursday backed by President Donald Trump that would impose new work requirements on Medicaid and food assistance recipients.
  • This bill aims to reduce federal spending by requiring able-bodied adults under 65 on Medicaid to work, volunteer, or attend school starting next year, while extending work rules for food aid and cutting funds for abortion providers.
  • About 8% of 71 million adult Medicaid enrollees must meet the new work requirements, risking loss of coverage for an estimated 5 million people, with similar rules potentially affecting 6 million SNAP recipients.
  • Supporters say the bill will save money, root out waste, and encourage responsibility, while critics warn it could cause vulnerable people to lose care, threaten rural hospitals, and cut services for transgender individuals and Planned Parenthood centers.
  • The bill’s provisions could significantly disrupt the social safety net if enacted, but some elements might be revised as the measure moves to the Senate for further consideration.
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National Health Law Program broke the news in on Tuesday, May 20, 2025.
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