House Republicans Propose Medicaid Work Requirements, Stricter Eligibility Nationwide

House Republicans unveiled legislation proposing significant Medicaid changes aimed at reducing federal spending by nearly $880 billion over the next decade. The plan introduces stringent work requirements for able-bodied adults without dependents, mandatory frequent eligibility verifications, and higher co-payments, all of which could result in millions losing coverage. While the proposal avoids major structural changes such as per capita caps or cuts to the Federal Medical Assistance Percentage (FMAP), it imposes penalties on states that provide Medicaid benefits to noncitizen residents and restricts funding for gender transition procedures for individuals under 18. Critics, including Democrats, warn that these measures would increase barriers to care and disproportionately harm vulnerable populations. States like Ohio, which expanded Medicaid and rely heavily on federal funding, are projected to suffer significant economic losses if these cuts are enacted, with broader implications for state economies. The legislation remains a contentious part of broader budget reconciliation efforts, balancing conservative spending priorities and moderate concerns within the Republican Party.