Overview

• The proposal targets $625 billion in Medicaid and health-care savings over 10 years by imposing 80-hour monthly work, training or volunteer mandates for able-bodied adults.
• It adds stricter eligibility checks, increased paperwork for beneficiaries, shorter ACA enrollment periods and steep cuts to SNAP funding.
• On Meet the Press, Speaker Johnson insisted 4.8 million people will retain coverage unless they choose to drop it, calling the new rules “common-sense enforcement.”
• The Congressional Budget Office projects 7.6 million enrollees could lose Medicaid by 2034, and experts warn of heightened medical debt and delayed care under the stricter requirements.
• GOP lawmakers have faced boos at town halls, underscoring intraparty divisions over the bill’s Medicaid reforms.