Loss of medical services: This bill is reduced by about 1 trillion US dollars from the Medicaid budget – the largest reduction in the history of the program. According to the Budget Department of the Congress, which is not a partner, it is expected that at least 17 million US citizens will lose insurance or subsidies that were available.
Requirements for work: For the first time, this bill ensures compliance with work and reporting requirements for Medicaid recipients, whose income is from 100 to 138 percent of the federal poverty level (for example, about $ 32,000 to 44,000 US dollars per year for four people). This group previously comply with the requirements of Medicaid by expanding the programs provided for in the Law on Available Medical Service in 2010.
Adults aged 19 to 64, who are considered able to work, must prove that they work, become volunteers or attend education for at least 80 hours a month. This bill provides exceptions to certain groups, such as pregnant women, people with disabilities or child care aged 13 years and younger. All states are required to apply these requirements no later than December 31, 2026.
Administration and additional documents. Recipients of Medicaid must regularly submit documents such as salary misses to prove that they meet the requirements of the work. Even those who are excluded should still convey evidence that they have the right to exception. Many medical service providers believe that these requirements are too burdensome, and warn that many patients will lose access to services from the difficulties in fulfilling administrative obligations or do not even know about this change.
Since 2027, this bill also requires that the state revisit the right to participate every six months. This can force anyone to lose health protection in the middle of the year, although he previously registered.
