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Senate Debates GOP Medicaid Work Requirements That Could Cut Coverage for Millions

Critics warn the plan’s paperwork burdens will cost millions their coverage without delivering any significant employment gains.

Speaker of the House Mike Johnson (R-LA) speaks to the media after the House narrowly passed a bill forwarding President Donald Trump’s agenda at the US Capitol on May 22, 2025, in Washington, DC.
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Overview

  • The Senate is now considering a GOP budget bill that would require able-bodied Medicaid recipients to work 80 hours a month or secure exemptions to maintain benefits.
  • A nonpartisan Congressional Budget Office analysis projects 10.9 million Americans would lose Medicaid coverage through 2034 under the proposed requirements.
  • Arkansas’s 2018 experiment stripped more than 18,000 residents of Medicaid in seven months without producing any measurable employment gains.
  • Economic modeling warns states could forfeit $33 billion to $46 billion in federal Medicaid funding next year and face up to 449,000 job losses by 2026.
  • A KFF poll finds over half of adults fear these changes would undermine family healthcare access, and Senator Josh Hawley has labeled the cuts morally wrong and politically risky.