Back to News

Posted
May 16, 2025

U.S. House Medicaid plan would lead to 7.6 million more uninsured, CBO estimates

The Medicaid portion of the U.S. House GOP’s massive domestic policy bill would result in 10.3 million people losing Medicaid coverage by 2034 and 7.6 million people going uninsured, according to a partial Congressional Budget Office estimate (Source: “CBO: GOP Medicaid plan would make 7.6 million people uninsured,” The Hill, May 13). 
 
The uninsured numbers include 1.4 million people without verified citizenship who would be removed from the program and 4.8 million people who would lose coverage because of work requirements, the committee said. 
 
All told, the Medicaid portions of the GOP proposal would save $625 billion over a 10-year period. The panel is tasked with finding at least $880 billion in savings, and the CBO said they were on track to exceed that amount. 
 
The biggest savings in the bill would come from the federal work requirements, which would account for about $301 billion over seven years. The provision would require childless adults aged 19-64 years old to prove they work, go to school or volunteer for 80 hours a month.  
 
Experts say most Medicaid beneficiaries are working, and work requirements force enrollees to complete burdensome paperwork requirements. According to a CBO analysis of a 2023 Republican bill, work requirements had no impact on the employment status or hours worked by Medicaid recipients.

Attend HPIO's 2025 Health Policy Summit on Oct. 9, 2025

With limited resources and growing need, investing in policies that deliver the greatest impact is essential. This event will highlight strategies that improve health and wellbeing while reducing healthcare spending. Speakers will provide evidence-informed research responsive to today’s political climate, focusing on what works and why it matters now more than ever.

Register now