Healthcare
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.
Heritage full-PDF viewer index verified against the 32-page front-matter offset.
Government did
Match: Strong AlignmentThe budget reconciliation law changed specified clean-energy tax provisions, Medicaid rules, and federal student-aid and repayment provisions, among many other subjects.
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.
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.
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.
119th Congress · July 1, 2025 · Passed 51–50, with the Vice President voting yea
On Passage of H.R. 1, as amended
119th Congress · July 3, 2025 · Passed 218–214
On motion that the House concur in the Senate amendment to H.R. 1
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