New GOP proposals would add work requirements to Medicaid in 2025. Here’s what it means, who’s affected, and how the rules would work.

Republican infighting over Medicaid work requirements and raising the state and local taxes cap is threatening to derail the “one big beautiful” reconciliation bill. There are currently enough Republican detractors to sink the bill’s markup in the Budget Committee on Friday.

Republican leaders intend to accelerate new work requirements under Medicaid as they scramble to secure the support of GOP holdouts for President Trump’s “big, beautiful bill.” House