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Starting next year, about 18.5 million adults will be subject to new Medicaid work rules in 42 states and Washington, D.C. Applicants must show they鈥檝e been working for at least a month before receiving benefits. Some Republican-controlled states want to triple the required work period.
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The One Big Beautiful Bill Act will add red tape and restrictions for those seeking Medicaid and SNAP benefits. And the costs to update computer systems that determine eligibility for those programs will be steep.
Republicans have said new rules requiring many Medicaid participants to work 80 hours a month will pinpoint unemployed young people who should have jobs. Policy researchers say the rules are more likely to disrupt coverage for middle-aged adults, harming their physical and financial health.
Even as the federal government resumed funding the nation鈥檚 largest food assistance program, people risk losing access to the aid because of new rules.
People on Medicaid deemed 鈥渕edically frail鈥 won鈥檛 need to meet new federal requirements that enrollees work 80 hours a month or perform another approved activity. But state officials are grappling with how to interpret who qualifies under the vague federal definition, which could affect millions.
Under Republicans鈥 One Big Beautiful Bill Act, states must shoulder more of the administrative and cost burdens of the food aid program SNAP, which helps feed 42 million Americans.
The federal government is making sweeping changes to SNAP, the program that helped feed about 42 million people in the U.S. last year. Here鈥檚 a breakdown of the changes to come and potential impacts.
As contractors position themselves to cash in on a gush of new business managing Medicaid work requirements, a cadre of senators has launched an inquiry into the companies paid billions to build eligibility systems.
The Trump administration鈥檚 鈥淢ake America Healthy Again鈥 platform has boosted the agenda of a conservative think tank that鈥檚 been working for more than a decade to reshape the nation鈥檚 public assistance programs.
Carmen Aiken of Chicago thought their medical appointment would be covered because the Affordable Care Act requires insurers to pay for a long list of preventive services. But after the appointment, Aiken received a bill for more than $1,400.
Emotionally overwhelmed, an Indiana woman dialed a mental health hotline. She didn鈥檛 find the help she was looking for and hung up. Ultimately, she was handcuffed and hospitalized overnight. Now, amid federal cuts, she and others fear the U.S. response to similar crises will revert to more responses like that.
Union Health has made a new bid to buy its only rival hospital in Terre Haute, Indiana. The system passed one hurdle after lawmakers watered down a bill that threatened the proposed deal. That means the merger will now face a likely showdown with Indiana鈥檚 new governor.
Gloria Sachdev, a pharmacist by training, has spent years taking on the health care establishment in Indiana, working to pull down high hospital prices and make information public to patients. Now, in a newly created position in the governor鈥檚 Cabinet, she鈥檚 no longer fighting from the outside.
After rival hospitals in Terre Haute scuttled plans to merge, a state senator has introduced a bill to forbid similar mergers by repealing a state law he helped write.
Two Indiana hospital rivals withdrew their application to merge after facing pushback from the Federal Trade Commission and the public.
Florida discovered a glitch in its Deloitte-run Medicaid eligibility system. The problem, alleged in court testimony, led to new mothers wrongly losing their insurance coverage.
Hundreds of people and the Federal Trade Commission weighed in on a proposed hospital merger in Terre Haute, Indiana, with most arguing that the creation of a monopoly would increase costs and worsen patient care.
The nation鈥檚 Catholic health systems were largely founded and led by nuns with a mission to serve the sick regardless of their creed or financial means. Today, no nuns run any U.S. Catholic health system, while many of these hospitals pull in billions, according to their financial reports.
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