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.
230 Articles
230 Articles
Proposed Medicaid cuts could devastate Appalachian Kentucky, health care providers say
Outside of Hazard in the heart of Appalachian Kentucky, Beacons of Hope offers inpatient treatment for those with substance abuse disorder. The organization is almost entirely dependent on Medicaid.(Sylvia Goodman / KPR)Health care providers in eastern Kentucky fear potential cuts to Medicaid in a bill that passed the U.S. House could have devastating effects on the health of its people and deal another blow to the impoverished Appalachian regio…


Federal action could make SD’s Medicaid work requirements ‘an exercise in futility,’ official says
South Dakota’s proposal to implement work requirements for Medicaid expansion could be “an exercise in futility” now that the federal government is also considering it, said state Department of Social Services Secretary Matt Althoff. The state began drafting its proposal immediately following the end of the state legislative session in March, Althoff said, before debates about work requirements heated up at the congressional level. Department of…
There’s no evidence work requirements for Medicaid recipients will boost employment, but they are a key piece of Republican spending bill
Work requirements for receiving government benefits have a long history. FatCamera/E+ via Getty Images by olin Gordon, University of Iowa Republicans in the U.S. Senate are sparring over their version of the multitrillion-dollar budget and immigration bill the House of Representatives passed on May 22, 2025. Some GOP senators are insisting on shrinking the budget … Continued
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.
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