Medicaid enrollment is most concentrated in this bracket. Those who cannot document 20 hours/week of work or volunteering and do not qualify for an exemption could lose monthly coverage. No official fiscal note with dollar amounts per household is available.
$30,000-$60,000
Some adults in this range may use Medicaid depending on state rules. Those enrolled who cannot meet the work requirement and lack an exemption could lose coverage. No official fiscal note with dollar amounts per household is available.
$60,000-$100,000
Adults at this income level are generally unlikely to be enrolled in Medicaid. No effect is indicated in the source text for this bracket.
Over $100,000
Adults at this income level are not typically enrolled in Medicaid. No effect is indicated in the source text for this bracket.
What you can do right now
Your voice carries more weight when it comes from the people a policy affects.
S. 447 is a U.S. Senate bill introduced February 6, 2025. It would require able-bodied Medicaid recipients ages 18–65 to work or volunteer at least 20 hours per week to keep their health coverage. Exemptions apply to people who are pregnant, medically unfit, primary caretakers, receiving unemployment benefits, or in drug or alcohol treatment. The bill was referred to the Senate Finance Committee and has not advanced beyond committee.
Some Houston residents get health coverage through Medicaid. This bill would add a work or volunteer requirement to keep that coverage, which could affect whether neighbors stay insured.