Overview

• The House-approved bill imposes 80-hour monthly work or community activity requirements for Medicaid enrollees, starting in late 2026, targeting childless adults without disabilities.
• The Congressional Budget Office estimates 10.3 million people could lose Medicaid coverage by 2034, primarily due to administrative barriers and stricter eligibility checks.
• The bill expands SNAP work requirements to adults up to age 65 and parents without young children, potentially affecting food assistance for millions.
• States face compressed timelines to implement new systems and outreach efforts, with no formal public rulemaking process, raising concerns about errors and coverage losses.
• Past experiments, like Arkansas’s 2018 Medicaid work requirements, resulted in significant coverage losses without boosting employment, according to Harvard researchers.