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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 that would impose work requirements on Medicaid and food aid recipients starting next year in the United States.
  • The bill, supported by President Donald Trump, seeks to reduce federal spending and increase personal responsibility amidst ongoing debates and could have provisions reworked as it moves to the Senate.
  • The bill requires most able-bodied Medicaid enrollees under 65 to prove employment, volunteering, or schooling, expands work rules for food assistance, and restricts funding to states covering undocumented immigrants and to Planned Parenthood.
  • Estimates from the Congressional Budget Office and advocacy groups indicate the bill could cause 8.6 million people to lose health care coverage and up to 6 million adults to lose Supplemental Nutrition Assistance Program benefits over a decade.
  • Critics warn the bill's work requirements and funding cuts may lead states to reduce Medicaid coverage, especially harming rural hospitals and vulnerable populations including people with disabilities and transgender individuals.
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The Keystone broke the news in on Tuesday, May 20, 2025.
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