Congress is considering imposing a mandatory work reporting requirement (WRR) on adults in Medicaid as part of its drive to impose large federal cuts to Medicaid.
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Medicaid Work Reporting Requirements: Feds Forcing States to Spend Resources to Cover Fewer People
As discussed in our overview of H.R. 1, the budget reconciliation bill passed by Congress and signed by President Trump, the new law includes a harmful new work reporting requirement for Medicaid. The Congressional Budget Office estimates this work reporting requirement will result in a $326 billion cut in federal funding for states and lead…
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Webinar: Budget Reconciliation (HR1) Medicaid and Marketplace Provisions
In Partnership with Monday, July 28, 2025 the Georgetown University McCourt School of Public Policy Center for Children and Families (CCF) and Center on Health Insurance Reforms (CHIR) held a joint webinar about the Medicaid and Marketplace provisions of the new budget reconciliation law (HR1). Experts at CCF and CHIR explained the provisions of the…
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Where Interests Conflict: Medicaid Managed Care Meets Work Reporting Requirements
Q2 ended on June 30, and the earnings calls have started. The first of the “Big Five” Medicaid managed care companies out of the gate was Elevance Health. The financial analysts on last week’s call had a number of questions relating to the Medicaid provisions of the Budget Reconciliation Law (BRL) P.L. 119-21, that create…
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States Pursuing Medicaid Work Requirement Waivers Must Make Changes: How the OBB Changed the Landscape for Medicaid Work Requirements
The new budget reconciliation law (aka OBBB — the One Big Beautiful Bill) makes the largest Medicaid cut in history ($990 billion over ten years). It will likely take health insurance away from about 10 million people, and another 5 million will likely lose coverage because of other Congressional Marketplace policies. It will wreak utter…
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Truth to Power: A Republican Senator Stands Up for Medicaid and His Constituents; Then Announces Retirement
With Vice President breaking the tie, the U.S. Senate just voted 50-50 “One Big Beautiful Bill Act”, the crown jewel of President Trump’s legislative agenda. With final text not even available to assess, and presumably not even read by the 50 Senators who voted for it, three Republican Senators voted no (Paul (KY), Collins (ME),…