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Senate Debates Medicaid Work Requirements That Could Strip Coverage From Millions

Critics warn that stricter eligibility checks plus work mandates will drive 8.6 million people from Medicaid under a plan designed to cut $715 billion in spending over 10 years

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Overview

  • The One Big Beautiful Bill Act, which cleared the House in May, is under Senate debate as lawmakers weigh its Medicaid changes alongside tax provisions.
  • It would introduce a national work requirement mandating 80 hours of paid employment or volunteer service per month for childless adults to maintain Medicaid eligibility.
  • The Congressional Budget Office estimates 8.6 million Americans could lose coverage by 2034 under the plan, reflecting state-level results like Arkansas’s 2018 mandate that cut benefits for 18,000 residents without raising employment.
  • Health experts warn that biannual eligibility reviews and added bureaucracy could negate projected savings and strain hospitals, clinics and state budgets.
  • Senators from both parties, including some Republicans, are pressing for revisions after Democrats such as Chuck Schumer decried the proposal as the “We Are All Going to Die Act.”