As they work to pass a “big beautiful bill” filled with tax cuts and spending reductions, Republicans in Congress are proposing adding work requirements to Medicaid, the $618 billion program that provides healthcare to more than 70 million low-income Americans.

New GOP proposals would add work requirements to Medicaid in 2025. Here’s what it means, who’s affected, and how the rules would work.

New legislation will mandate 80 hours of verified community engagement per month for able-bodied Medicaid recipients aged 19 to 55.

Advocates in Utah are concerned that recently proposed Medicaid work requirements will take away insurance for vulnerable populations.

Most adults on Medicaid are working or would qualify for an exception, but experts say work reporting requirements would cause many to fall through the cracks.

Only a small number of people were enrolled in the state program, and administrative costs exceeded spending on medical care.

As Republicans move to add work requirements for Medicaid, Georgia has already done it. It’s called Pathways to Coverage, and it has struggled to gain traction.

As Congress debates Medicaid overhaul, advocates worry millions could lose health care. In South Carolina, however, the impact could be much less severe.

Kentucky is seeking federal approval for new Medicaid requirements, as required by a state law passed earlier this year. Here's who could be affected.