Thanks for your question, Christian. To ensure that Medicaid is protected for our vulnerable populations, H.R. 1—or the One, Big, Beautiful Bill Act—introduces reasonable work requirements for able-bodied adults without dependents. Individuals can meet the work requirements by working, attending school, participating in job training, volunteering, or a combination of all for 80 hours per month.
There has been a lot of disinformation about these requirements, and I want to set the record straight: no one is being kicked off the program and there are several exemptions for populations that would face an undue hardship from a work requirement. In the bill, there are reasonable exemptions for:
- Pregnant women
- Children under 19
- Seniors over 64
- Parents of minor children
- Foster youth under 26
- Individuals with disabilities
- Individuals with substance abuse disorders
- Caregivers of minor children
- Caregivers of disabled individuals
- and more
People living in counties with unemployment over 8%, which is most of CA-22, can also qualify for temporary hardship waivers.
Work requirements aren’t a punishment—they are meant to encourage a pathway to economic mobility for able-bodied adults while preserving Medicaid for those who truly depend on it. In order to ensure the longevity of the program, it’s important we make reforms today to minimize any fraud within the system, which is something the majority of Americans agree with.
To be clear, the changes to Medicaid proposed in the House-passed version of the budget bill must still be considered and voted on in the Senate before it becomes law.
As the budget reconciliation process continues, my priorities remain the same. I remain committed to working closely with my colleagues in the Senate to ensure critical programs like Medicaid are protected for those who need them most.