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Trump’s 'Beautiful' New Law Means States Have Big Decisions This Year on Medicaid, SNAP and Taxes

States must decide how to implement Medicaid work requirements and manage rising SNAP costs amid $911 billion federal Medicaid cuts, risking coverage losses for 10 million people, CBO says.

  • Trump's 'One Big Beautiful Bill Act' requires Medicaid beneficiaries aged 19-64 to work at least 80 hours per month, with exceptions for caregivers of young children and disabled individuals.
  • The law includes $911 billion in Medicaid cuts, with work requirements accounting for the largest share at approximately $326 billion.
  • States have until January 1, 2027 to adopt the new Medicaid work requirements, and their implementation is crucial to ensuring continued access for family caregivers, who provide an estimated $600 billion annually in unpaid care.
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Trump’s 'beautiful' new law means states have big decisions this year on Medicaid, SNAP and taxes

States have major decisions to make in 2026 about the social safety net and taxes in the aftermath of a sweeping law President Donald Trump signed last year.

·United States
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CNBC broke the news in United States on Wednesday, January 7, 2026.
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