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=== Medicaid work requirements === A federal judge blocked Medicaid work requirements in Arkansas and Kentucky on March 27, 2019, ruling that the mandates undermined Medicaid's core purpose of providing health care to the needy. U.S. District Judge [[James Boasberg]] found that the requirements created obstacles to coverage and had been improperly approved by federal officials.<ref>{{cite news | last = Alonso-Zaldivar | first = Ricardo | title = US judge blocks Medicaid work rules in blow to Trump | url = https://apnews.com/united-states-government-4525a194705d4f018d5cacb4dad23396 | website = AP News | date = March 27, 2019 | access-date = March 31, 2025 }}</ref> On May 12, 2025 Republicans proposed federal work requirements under the 2025 budget reconciliation act. Although this act is still being marked up by legislators, the Congressional Budget Office estimated that 8.6 million Americans would lose their health insurance under the proposed Medicaid reform bill which includes work requirements. <ref>{{cite news | last = Tavares | first = Jane | title = Why do cuts to Medicaid matter for Americans over 65? 2 experts on aging explain why lives are at stake | url = https://theconversation.com/why-do-cuts-to-medicaid-matter-for-americans-over-65-2-experts-on-aging-explain-why-lives-are-at-stake-254256 | website = The Conversation | date = May 13, 2025 | access-date = May 13, 2025 }}</ref>
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