work requirements

Congressional Republicans’ One Big Beautiful Bill Act, which President Donald Trump signed into law last summer, will soon demand more from staff at state agencies in places where lawmakers expanded Medicaid to more low-income adults — nearly all states and the District of Columbia.

Amid the war with Iran, the president has proposed to scale back some of the very programs meant to ease families’ financial burdens.

Together, the hospitals provide care for nearly 7 million patients across the U.S., according to the analysis.

States are paying contractors such as Deloitte, Accenture, and Optum millions of dollars to help them comply with the One Big Beautiful Bill Act — a law that will strip safety-net health and food benefits from millions.

Between 4.9 and 10.1 million people could lose Medicaid coverage in 2028 as the result of new work requirements and more frequent eligibility checks.

The Trump administration has signaled a willingness to halt billions of dollars in federal health payments to multiple states, mirroring moves they made against Minnesota.

In states that have long refused to expand Medicaid to more low-income adults, people in the program aren’t subject to new rules under the One Big Beautiful Bill Act requiring them to prove they’re working in order to get and keep coverage. That’s not stopping Florida lawmakers from trying to adopt Medicaid work requirements anyway.

A proposed rule by the Department of Housing and Urban Development would allow strict time limits and work requirements as a condition for rental subsidies, a move that critics say could put millions of people at risk of losing such aid amid record-high housing costs and homelessness.

Across the nation, states face an immense task and high costs to prepare for the Jan. 1 kickoff of new Medicaid eligibility mandates affecting millions of lower-income adults in the government-funded health care program.