#10 No matter how broad a list of exclusions, key groups will inevitably be excluded. The bill contains no exclusion for victims of interpersonal violence, or individuals seeking week, or even someone who is out of work for two weeks because of covid. 11/11

#9 The proposed bill contains a list of “excluded individuals," but in practice these processes are often poorly publicized and deliberately complicated. Exemptions are fig leaves that try to cover the fact that the bill will terminate coverage for millions of people it claims to exempt. 10/11

#8 The bill lets states lock individuals out of coverage for months, or even years. States can require proof that an individual has worked consecutive months or even years prior to an initial Medicaid application – there is absolutely no cap on how long in the past a state can look. 9/11

# 7 The bill lets states require compliance and verification every single month, with no leeway for an individual to fail. Low-wage shift or seasonal workers are particularly at risk – if their supervisor fails to schedule them for sufficient hours, they could lose their health care. 8/11

#6 The bill cuts off access to marketplace insurance for anyone who fails to meet the work requirement, leaving people without any source of insurance for long swaths of time. 7/11

#5 It harms disabled people. Approximately 20-25% of Medicaid expansion enrollees have disabilities. Even when exemptions are in place, exemptions processes are often so complex they are designed to fail. 6/11

#4 It harms older adults in Medicaid expansion. Unlike some previous proposals that stopped at age 50 or 56, the bill applies to older adults up to age 65. Roughly 70% of low income adults aged 50-64 have a chronic conditions and poor health, but will still be subject to the work requirements. 5/11

# 3 It fails to increase employment. It ignores decades of evidence that benefit loss penalties do not increase employment. It does not fund child care, or provide transportation, or offer new training opportunities. Those policies require more resources, which the bill does not include. 4/11

# 2 It is mandatory-- every state would be required to implement the penalty 3/11

#1 The bill shuts the front door to care, forcing enrollees to prove compliance before they can access coverage. This essentially ends Medicaid expansion as we know it, making it very difficult for individuals to enroll. 2/11

House Republicans are proposing a new kind of work requirement– more radical and punishing than any proposal we have seen before. Millions of low-income people will have their health care terminated by this bill. New paper with @machledtdc.bsky.social and a 🧵about how it will happen. 1/11

#5 It harms disabled people. Approximately 20-25% of Medicaid expansion enrollees have disabilities. Even when exemptions are in place, exemptions processes are often so complex they are designed to fail. 6/11

#4 It harms older adults in Medicaid expansion. Unlike some previous proposals that stopped at age 50 or 56, the bill applies to older adults up to age 65. Roughly 70% of low income adults aged 50-64 have a chronic conditions and poor health, but will still be subject to the work requirements. 5/11

# 3 It fails to increase employment. It ignores decades of evidence that benefit loss penalties do not increase employment. It does not fund child care, or provide transportation, or offer new training opportunities. Those policies require more resources, which the bill does not include. 4/11

# 2 It is mandatory-- every state would be required to implement the penalty 3/11

#1 The bill shuts the front door to care, forcing enrollees to prove compliance before they can access coverage. This essentially ends Medicaid expansion as we know it, making it very difficult for individuals to enroll. 2/11

The Faces of Medicaid Expansion: Filling Gaps in Coverage - National Health Law Program Medicaid expansion via the Affordable Care Act (ACA) has provided tens of millions of individual adults, mostly low-income workers, people with disabling conditions, students, and parents and family c...

Medicaid expansion = fewer gaps, better lives.

From caregivers to folks with disabilities & mental health needs—millions now have coverage thanks to the ACA's #MedicaidExpansion.

These stories show why it matters:
healthlaw.org/resource/the...

Cuts to Medicaid Expansion Harm People with Mental Health Disabilities Medicaid expansion is a lifeline for many people with mental health disabilities who are often excluded from traditional eligibility pathways. Cutting funding or adding barriers like work requirements...

Medicaid expansion is a lifeline for people with mental health disabilities. Cuts or work requirements would put coverage and care at risk. We must protect access. By Brit Vanneman. #MedicaidMatters #MentalHealth #HealthEquity healthlaw.org/resource/cut...

@jonlovett.bsky.social saying this as a huge fan of your show—It’s not ok for you to use the R word, no matter the context. Wasn’t edgy or funny.

A Look at Federal Health Data Taken Offline | KFF This post looks at federal government databases with key health data that went offline on Jan. 31, 2025, including several related to HIV, some of which had returned by Feb. 2, 2025. It briefly descri...

NEW: several federal datasets and health surveys came offline on Friday

We @kff.org explain what these data are & how they’re used in interventions to address our nation’s biggest health challenges
@jenkatesdc.bsky.social @mattrae.bsky.social @lindseydawson.bsky.social

www.kff.org/policy-watch...

Work requirements will inevitably hurt disabled people, taking health care away from people who need it. #healthpolicy

🥒 I like to say "Happy New Year" by updating the calculations for Pickle eligibility. 🥒 #healthpolicy

Senior Attorney (1-2 positions) 📢 We’re hiring! Join NHeLP’s Litigation & Enforcement team as a Senior Attorney! We’re seeking passionate attorneys with experience in laws like the ACA, Medicaid, Medicare, and the ADA. If you have s...

📢 NHeLP is hiring a Senior Attorney! If you're passionate about health equity, apply by January 6, 2025: healthlaw.org/job/senior-a... #NowHiring #HealthJustice #Diversityandinclusion