President Trump

The House has approved a bill mandating work-related requirements for many Medicaid recipients to keep their healthcare coverage. This move aligns with President Donald Trump’s broader efforts to reform social safety net programs. The legislation could significantly impact low-income Americans’ access to medical care.

Trump at a joint session of Congress

Medicaid enrollees must complete 80 hours of work, volunteer service, or education monthly to keep their eligibility. Exemptions apply to those under 19, over 64, pregnant, primary caregivers, and individuals with disabilities.

Trump at the Capitol

Supporters claim the measure encourages personal responsibility and cuts government spending. Critics warned it may create barriers to healthcare access.

Meeting in Washington DC

Medicaid covers approximately 70 million adults in the U.S., with 92% of recipients already working, caregiving, in school, or exempt. However, up to 5 million individuals could lose coverage.

A joint session of Congress

The bill proposes reducing the maximum provider tax rate in Medicaid expansion states from 6% to 3.5%, differing from a previous plan to freeze rates.

Mike Crapo at a hearing

Republican senators are concerned the change could negatively affect rural hospitals and healthcare access in underserved areas.

Mike Crapo listens to a testimony

Senator Mike Crapo (R-ID), chair of the Senate Finance Committee, is expected to address the proposals in upcoming negotiations. Republican lawmakers have continued to push for broader spending cuts.

Laura Mitchell covers U.S. politics & news for content partner Modern Newsstand LLC.