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The rules being written right now matter. The difference between 3 million people losing coverage and 11.8 million depends largely on how CMS implements these requirements.
Why this matters
The One Big Beautiful Bill requires adults 19–64 on Medicaid to prove 80 hours of work per month to keep coverage. CMS and states are writing the rules right now. The CBO estimates 11.8 million people are at risk — but most losses will be due to paperwork failures, not because people stopped working.
What’s at stake
With protective rules
With strict implementation
What to say
“Hi, my name is [YOUR NAME] and I'm calling from [ZIP CODE]. I'm calling about Medicaid work requirement implementation — CMS is writing the rules right now.”
I want protective implementation...
“Broad caregiver exemptions, quarterly averaging of work hours, and simple documentation — these rules could prevent millions from losing coverage on a technicality.”
I want Congress to oversee CMS closely...
“Congress passed this law. Senators should hold oversight hearings and ensure CMS isn't implementing it in a way that harms working families.”
I want the work requirements reconsidered...
“Most people on Medicaid who can work already do. These requirements create bureaucratic harm without improving employment outcomes.”
“What is the Senator doing to ensure Medicaid work requirements are implemented fairly? Thank you.”
Common questions
I'm on Medicaid and I work — do I need to do anything?
Yes. Starting this year, you'll need to document 80 hours of work, job training, or community service per month. Check your state Medicaid office.
I work irregular hours — could I lose coverage in a slow month?
Yes, under strict implementation. Senators can push CMS to require states to average work hours over a quarter rather than monthly.
My relative is a stay-at-home caregiver — are they exempt?
Caregiving should count as a qualifying activity under the law, but the rules are being written now. Call your senator to push for clear, broad caregiver exemptions.
Make the call.
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