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American Focus > Blog > Health and Wellness > GOP speeds up Medicaid work requirements in ‘big, beautiful bill’
Health and Wellness

GOP speeds up Medicaid work requirements in ‘big, beautiful bill’

Last updated: May 21, 2025 9:19 am
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GOP speeds up Medicaid work requirements in ‘big, beautiful bill’
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The House tax cut bill is making headlines once again, with a new draft that includes starting Medicaid work requirements as early as next year, a significant shift from the original plan to implement them in 2029. Rep. Chip Roy, a member of the House Freedom Caucus and the House Rules Committee, revealed this update during the committee’s late-night session to debate the budget reconciliation bill. Despite the early start for work requirements, committee members were still sifting through a staggering 537 amendments at publication time. Speaker Mike Johnson is pushing for a quick turnaround, aiming to pass the bill before the week concludes.

In addition to the Medicaid changes, other Republican lawmakers are in talks about various measures, including the state and local tax deduction (SALT) and green energy tax credits. These discussions are ongoing and could shape the final version of the tax cut bill.

The House tax cut bill has sparked significant debate and scrutiny, with various factions within the Republican Party advocating for different priorities. The House Freedom Caucus, known for its conservative stance on fiscal issues, has been vocal about advancing Medicaid work requirements sooner rather than later. This move is seen as a way to promote self-sufficiency and reduce reliance on government assistance programs.

On the other hand, concerns have been raised about the potential impact of these changes on vulnerable populations who rely on Medicaid for essential healthcare services. Critics worry that imposing work requirements could result in people losing access to vital medical care, especially during a time of economic uncertainty and public health challenges.

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As the House Rules Committee navigates the complex landscape of tax policy and social welfare programs, the fate of Medicaid work requirements hangs in the balance. The final version of the tax cut bill will have far-reaching implications for millions of Americans, shaping the future of healthcare and social safety nets in the United States. Stay tuned for more updates as the legislative process unfolds.

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