On May 14, 2025 the U.S. House of Representatives Committee on Energy & Commerce advanced, in a party-line vote, proposed legislative text that would impose significant cuts and changes to Medicaid financing as part of the upcoming federal budget reconciliation bill. The bill seeks to cut hundreds of billions of dollars in state Medicaid funding and impose stricter eligibility verification, citizenship checks, and more complex screening on providers who receive Medicaid reimbursements. The bill also seeks to impose various work requirements to receive Medicaid for “able-bodied adults” within the ages of 19 to 64 without dependents. Among other things, the bill requires these individuals to work at least 80 hours per month or perform 80 hours of community service. According to reports, the Congressional Budget Office has estimated that the proposed Medicaid cuts and requirements in the bill would cause 10.3 million people to lose Medicaid coverage and 7.6 million people to go uninsured.
House Committee Proposes Significant Changes to Medicaid
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