All comparisons

Healthcare

Verified

Establish Medicaid work or community-engagement requirements

Project 2025 recommends Medicaid work requirements or incentives for able-bodied beneficiaries and broader state flexibility.

Project 2025 said

Add work requirements and match Medicaid benefits to beneficiary needs.
Chapter
14 · Department of Health and Human Services
Author
Roger Severino
Department
Centers for Medicare & Medicaid Services
Printed page
469
PDF page
501
Last verified
August 16, 2026
Open Project 2025 — Chapter 14, printed page 469PDF viewer page 501

Heritage full-PDF viewer index verified against the 32-page front-matter offset.

Compared with

Government did

Match: Strong Alignment

Public Law 119-21

Public Law 119-21 contains separate provisions affecting SNAP work requirements, Medicaid community engagement, border infrastructure, and federal student loans; each provision has its own implementation date.

Section 71119

Medicaid community-engagement requirements

Section 71119 adds community-engagement requirements for certain Medicaid adults. States generally must implement beginning January 1, 2027, though the statute permits an earlier state-selected start.

Action type
Federal Statute
Identifier
Public Law 119-21
Current status
Effective Implementation Pending
In effect
No
Last verified
August 16, 2026

Why this match

Project 2025 emphasizes state flexibility to add work incentives or requirements; Section 71119 establishes a mandatory federal community-engagement condition for defined adults. The objective strongly aligns, while the legal mechanism differs.

How this can change

Reversibility: Difficult

Congressional Repeal Or Amendment

Congress can amend or repeal the federal provision, followed by presidential signature or a veto override. USDA administers the law; courts can review legal claims but do not repeal statutes.

Authority: Congress · President · Agency · Courts

Reversibility: Difficult

Congressional Repeal Or Amendment

Congress can amend or repeal Section 71119, followed by presidential signature or a veto override. CMS and states implement the statute; courts can review implementation and legal claims.

Authority: Congress · President · Agency · Courts · States

Reversibility: Difficult

Funding Restoration

Congress can modify authorized uses or rescind unobligated funds through later legislation, ordinarily with presidential signature or a veto override. CBP administers the appropriation; courts can review legal challenges.

Authority: Congress · President · Agency · Courts

Reversibility: Difficult

Congressional Repeal Or Amendment

Restoring statutory Grad PLUS authority generally requires Congress to amend the law, followed by presidential signature or a veto override. The Education Department implements transition rules; courts can review legal claims.

Authority: Congress · President · Agency · Courts

Legislative votes

Senate roll call 372

119th Congress · July 1, 2025 · Passed 51–50, with the Vice President voting yea

On Passage of H.R. 1, as amended

House roll call 190

119th Congress · July 3, 2025 · Passed 218–214

On motion that the House concur in the Senate amendment to H.R. 1

Show me the receipts

14 public source receipts