Overview

• The House-approved bill introduces the first-ever nationwide Medicaid work requirements, targeting childless adults covered under the ACA expansion.
• Enrollees must report 80 hours of work or community activity monthly to maintain coverage, with exemptions for seniors, pregnant people, caregivers, and those with disabilities.
• The Congressional Budget Office estimates 10.3 million people could lose Medicaid coverage by 2034, with half of the losses tied to the work requirement.
• Noncompliance would also block access to subsidies for private insurance plans on the Obamacare marketplace, further reducing coverage options.
• The bill, projected to save $280 billion over six years, now moves to the Senate for consideration, as states prepare for implementation challenges.