A Closer Look at the Medicaid Work Requirement Provisions in the “Big Beautiful Bill”

(By Elizabeth Hinton, Amaya Diana, and Robin Rudowitz for The Kaiser Family Foundation Published: Jun 20, 2025)

On May 22, the House passed a budget reconciliation bill that includes significant changes to the Medicaid program. The Congressional Budget Office (CBO) estimates the Medicaid work requirement provisions in the House bill would be the largest source of Medicaid savings, reducing federal spending by $344 billion over ten years, and would increase the number of people without health insurance by 4.8 million. On June 16, the Senate Finance committee released proposed reconciliation language with some substantive changes to the Medicaid work requirement provisions, but this language may change as the Senate debates the bill. Continue reading here…

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