Senate Keeps Medicaid Work Mandate, Provider Tax in Budget Bill

June 16, 2025, 8:53 PM UTC

Work requirements for Medicaid recipients would be mandated in 2026 as part of the Senate Finance Committee’s portion of the GOP’s tax and spending bill.

  • Panel unveiled its long-awaited measure Monday. Read the bill text here and summary here
  • Bill limits states’ ability to rely on provider taxes by phasing the “safe harbor” limit down from 6 percent to 3.5 percent in some states
  • Sen. Josh Hawley (R-Mo.) and Sen. Jim Justice (R-W.Va.) have expressed concerns about provider taxes
  • Text released excluded Sen. Bill Cassidy‘s (R-La.) proposal to curb Medicare Advantage overpayments
  • NOTE: Health Coverage for 16 Million Said ...

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