From The Atlantic.

The One Big Beautiful Bill Act, President Donald Trump’s signature second-term domestic legislation, implements a nationwide work requirement for Medicaid. Republican lawmakers insist that this will not cut the insurance program—but in reality, Annie Lowrey argues, the new rule will “saddle taxpayers with billions of dollars of new costs and low-income Americans with hundreds of millions of hours of busywork.”

More than 20 million Americans will have to set up accounts to let the state know that they are in compliance with the new Medicaid work requirement, out of compliance, or not subject to it. “Republicans are not protecting Medicaid,” Lowrey argues. “They are voting to annoy their own constituents to death.”

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