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American flags are displayed on the lawn of the National Mall with the U.S. Capitol Building in the background on June 2, 2025, in Washington, D.C. <\/p>\n
Kevin Carter | Getty Images News | Getty Images<\/p>\n<\/div>\n<\/div>\n<\/div>\n
The House and Senate versions of the \u201cbig beautiful\u201d bill would impose federal work requirements on Medicaid for the first time.<\/p>\n
Per the House and Senate proposals, individuals ages 19 to 64 who apply for Medicaid or who are enrolled through Affordable Care Act expansion group would need to would need to work or participate in qualifying activities for 80 hours per month.<\/p>\n
Adults may be exempt if they have dependent children or have qualifying circumstances such as medical conditions; however, \u201cexemptions don\u2019t always work, and people could lose coverage anyway,\u201d Orris said.<\/p>\n
Medicaid work requirements proposed in the House bill would cut federal spending by $344 billion over 10 years, representing the legislation\u2019s largest source of Medicaid savings, according to KFF, a nonprofit provider of health policy research.<\/p>\n<\/div>\n
People protest on the national mall during the Unite for Veterans rally on the National Mall in Washington D.C., on Friday, June 3, 2025. <\/p>\n
Dominic Gwinn | Afp | Getty Images<\/p>\n<\/div>\n<\/div>\n<\/div>\n
Current law prohibits basing Medicaid eligibility on work requirements or work reporting requirements, according to KFF<\/a>. \u00a0<\/p>\n \u201cMany people on Medicaid, if they\u2019re able to, are already working,\u201d said Robin Rudowitz, director of the program on Medicaid and the uninsured at KFF.<\/p>\n However, some states may implement work requirements if they receive approval through waivers. Georgia is currently the only state with a Medicaid work requirement<\/a>. \u201cSeveral\u201d other states have recently submitted waiver requests to put such requirements in place, according to KFF.<\/p>\n Arkansas previously implemented Medicaid work requirements. However, estimates have shown while more people became uninsured because of that policy, there were not meaningful increases in employment<\/a>, according to Rudowitz.<\/p>\n<\/div>\n The Senate version of the bill introduced a \u201charsher\u201d take on the work requirements that would apply to some parents, Orris said. The Senate calls for limiting parental exemptions to those with children ages 14 and under, rather than all parents of dependent children as the House proposed.<\/p>\n Individuals who apply for Medicaid coverage would need to meet work and other requirements for one or more consecutive months before they apply. Eligibility redeterminations<\/a> would be conducted at least twice per year to ensure enrollees still meet those requirements.<\/p>\n The Senate version proposes capping the look-back period for showing compliance with work requirements to three months, which on net may be helpful to people, Orris said.<\/p>\n<\/div>\n If an individual is denied coverage or disenrolled because they do not meet the Medicaid work requirements, they would be ineligible for subsidized marketplace coverage<\/a>.<\/p>\n The Senate bill also allows for a longer timeline for states to comply with the Medicaid work requirements. The chamber\u2019s bill would give states the ability to ask for a good faith waiver that would give them an additional two years to come into compliance with the provision, or until the end of 2028, rather than the end of 2026 in the House version.<\/p>\n<\/div>\n<\/div>\n\nSenate work requirements would include some parents<\/h2>\n
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