Overview

• Agriculture Secretary Brooke Rollins doubled down on her view that non-disabled adults at risk of losing Medicaid coverage should find farm jobs
• The One Big Beautiful Bill Act requires able-bodied, working-age Medicaid enrollees to complete 80 hours of work or community service each month to keep benefits
• A Congressional Budget Office review of the bill’s draft estimated nearly five million people could lose Medicaid by 2034 under the proposed requirements
• State pilots such as Arkansas’s 2018 work mandate saw thousands of eligible enrollees dropped over paperwork errors without raising employment
• Some experts say states may end their Affordable Care Act Medicaid expansions rather than shoulder the complexity and cost of enforcing the new work rules