As part of their effort to pass a massive tax, immigration and spending cuts package, House Republicans are eyeing plans to shave billions from the federal budget. Some of those cuts could affect Medicaid and the related Children’s Health Insurance Program.

The Jobs and Opportunities for Medicaid Act, adds a 20-hour weekly work or volunteer requirement for Medicaid enrollees starting Jan 1, 2026.

Health care providers at the American Hospital Association’s annual meeting warned that cuts to Medicaid could force hospitals to close.

The package is touching off the biggest political debate over taxes and spending in nearly a decade, with GOP divisions already emerging.

Draft legislation filed Sunday night, projected to save the government more than $900 billion, would cost millions of people health insurance coverage within a decade.

Draft Medicaid legislation unveiled by U.S. House Republicans is getting close scrutiny — and some backlash — in Michigan where roughly 25% of people are enrolled in the federal-state health insurance program.

CMS has issued a proposed rule to close what it describes as a Medicaid tax “loophole” that some states have exploited to increase federal payments while minimizing their state financial contributions.