A proposed work requirement would make Medicaid expansion enrollees prove they’re working or meet other criteria. Most already work, but millions are expected to lose coverage if the provision passes, many from red tape. A Missouri mother who cares for her disabled son would probably be subject to the rule.
Spending cuts hitting medical providers, Medicaid and Affordable Care Act enrollees, and lawfully present immigrants are just some of the biggest changes the GOP has in store for health care — with ramifications that could touch all Americans.
Republicans are attempting to use the budget reconciliation process to boost President Donald Trump’s priorities and reduce health coverage. That process has been used to pass nearly every major piece of health legislation for decades — except usually lawmakers use it to expand health care, not cut it, writes Julie Rovner.
Fewer Americans will likely have health insurance, compromising their physical and financial health, as the Trump administration and GOP-controlled Congress weigh major changes to the Affordable Care Act and Medicaid. “The effects could be catastrophic,” one policy analyst predicts.
This analysis estimates that the House-passed reconciliation bill could lead Medicaid spending in rural areas to decrease by $119 billion and a 1.5 million drop in enrollment over 10 years.
This analysis estimates that the House-passed reconciliation bill could lead Medicaid spending in rural areas to decrease by $119 billion and a 1.5 million drop in enrollment over 10 years.
Sixty percent of Americans have health insurance through their own workplace or someone else’s job. But not all employers provide health insurance or offer plans to all their workers. When they do, cost and quality vary widely, making Thune’s statement an oversimplification.
Republicans claim 4.8 million Americans on Medicaid who could work choose not to. The GOP’s work-requirement legislation could sweep up disabled people who say they’re unable to hold jobs.
Republican proposals to tighten the use of special taxes to fund Medicaid programs could deprive states of billions of dollars for safety net health care. In California, any such limit would come on top of Medicaid cuts proposed by California Democrats in response to a $12 billion state deficit.
KFF Health News chief Washington correspondent Julie Rovner answers listeners’ questions about how the “One Big Beautiful Bill” could affect health care in Washington, D.C., and beyond.
