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Analysis: The paperwork trap: A sneaky way to cut Medicaid in the 'One Big Beautiful Bill'?

By NPR / Planet Money  
   June 26, 2025

Medicaid is widely popular, including among many Republican voters in their now more working-class coalition forged by President Trump. So how can Republicans cut Medicaid while sheltering themselves from the political fallout of cutting Medicaid? Their answer: work requirements. Draft versions of the bill have included provisions that would force millions of working-age, able-bodied adults to work to receive Medicaid — and every six months show the government proof they work to remain on the program.

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