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Work requirements could transform Medicaid and food aid under US budget bill

UNITED STATES, MAY 28 – The bill proposes nearly $1 trillion in Medicaid and food stamp cuts, with work requirements expected to reduce Medicaid enrollment by 5-10% in states like South Dakota.

  • On May 22, 2025, the U.S. House approved the legislation proposing over $700 billion in Medicaid cuts, $267 billion in SNAP reductions, and work requirements for Medicaid recipients.
  • House GOP legislation aims to offset costs of Trump’s 2017 tax cuts by targeting Medicaid and SNAP through work requirements, viewed as feasible savings measures.
  • Analysis projects that up to 4.8 million Americans and 1.2–1.4 million Californians could lose Medicaid coverage if work requirements take effect by December 31, 2026.
  • Fort Peck leaders warn the bill would destabilize tribal clinics and cut healthcare access for over 40% of tribal members, causing devastating consequences.
  • Now in the U.S. Senate, the bill faces debate, with work requirements set to start by December 31, 2026, if approved.
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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.

·New Hampshire, United States
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National Health Law Program broke the news in on Tuesday, May 20, 2025.
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