Overview

• Senators are examining additions to Medicare aimed at rooting out ‘waste, fraud and abuse’ through overpayment and upcoding reforms while keeping benefit levels intact
• The legislation would impose 80-hour monthly work requirements on childless Medicaid recipients aged 19 to 64 and shift eligibility reviews from annual to semi-annual
• CBO analysis shows the bill could slash about $600 billion from Medicaid and $230 billion from SNAP over ten years, potentially leaving nearly 11 million people uninsured
• Overall offsets and new tax provisions in the package are projected to increase the national debt by $2.4 trillion over the next decade
• Key GOP senators such as Josh Hawley and Lisa Murkowski have objected to the House’s Medicaid provider tax freeze and strict work rules, signaling further Senate amendments