Overview

• House Majority Leader Steve Scalise confirmed plans to target early 2027 for implementing Medicaid work requirements, moving up from the original 2029 timeline.
• The One Big Beautiful Bill Act combines Medicaid reforms with extensions of Trump-era tax cuts and increased border funding, advancing key Republican priorities.
• The proposed requirements mandate 80 hours of work, community service, or educational activity per month for able-bodied adults without dependents, with exemptions for specific groups.
• Republican leadership continues to negotiate the exact start date and other details to balance demands from conservative and moderate factions within the party.
• The legislation passed the House Budget Committee in a late-night vote and now heads to the Rules Committee for final adjustments before a full House vote.