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Work requirements could transform Medicaid and food aid under US budget bill

  • The House of Representatives passed a budget bill on May 22, 2025, that imposes work requirements for most Medicaid and food aid recipients in the US.
  • The bill, backed by President Trump, aims to require able-bodied Medicaid enrollees under 65 and many SNAP recipients to work, volunteer, or attend school starting next year.
  • The bill could cause an estimated 5 million people to lose Medicaid coverage and risk cutting SNAP benefits for 6 million adults, while also penalizing states that provide Medicaid to undocumented immigrants.
  • Critics warn the changes could lead to health center closures, reduce abortion and gender-affirming care access, and increase administrative barriers that may wrongly terminate some recipients' coverage.
  • Supporters argue the bill will save money, root out waste, and promote personal responsibility, but concerns remain about its impacts on rural hospitals and vulnerable populations.
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The Keystone broke the news in on Tuesday, May 20, 2025.
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