More than a half million of Americans could be left without health insurance under legislation passed by House Republicans that would require people to work in exchange for health care coverage through Medicaid.
It's one of dozens of provisions tucked into a GOP bill that would allow for an increase in the debt limit but curb government spending over the next decade. The bill is unlikely to become law, though. It is being used by House Republicans to draw Democrats to the negotiating table and avoid a debt default.
About 84 million people are enrolled in Medicaid, and the Congressional Budget Office estimates 15 million would be subject to the requirement. The Health and Human Services Department, however, predicts millions more — about a third of enrollees altogether — would be required to work.Republicans say the move would help push Americans into jobs that eventually might put them in a position to move off of government aid.
About 1 in 4 people who were required to work lost coverage during Arkansas' experience with work requirements in 2018. Amy Shaw, 39, of Rochester, New Hampshire, lost her family's Medicaid coverage in April because of her husband's 50-cent raise to $17 per hour at an auto parts store. Shaw wouldn't be subject to the GOP's work requirement because she has two daughters, but the family's case illustrates how modest incomes can push people out of Medicaid coverage — and cost them big time.
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