The Trump administration's budget proposal includes unprecedented cuts to Medicaid, potentially affecting over 10 million low-income Americans. The House has passed the bill, which now awaits a Senate vote. A primary aspect is the introduction of strict work requirements for able-bodied adults aged 19 to 64, requiring 80 hours of work monthly for continued coverage. Many enrollees may lose access due to administrative burdens and compliance issues. This bill marks a significant shift in Medicaid policy at the federal level, following similar state-level initiatives that led to significant coverage losses.
If signed into law, it would kick more than 10 million Americans off Medicaid, according to estimates from the Congressional Budget Office.
The main provision causing this is one that imposes strict work requirements for able-bodied adults ages 19 to 64.
These enrollees would be required to work at least 80 hours per month in order to maintain their coverage - unless they can prove they are enrolled in an education, job training or substance abuse treatment program.
Only two states, Arkansas and Georgia, have implemented work requirements for Medicaid enrollees. Arkansas did so in June 2018 - and by December 2018, more than 18,000 people lost coverage due to noncompliance.
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