States Could Make Work a Medicaid Requirement Under G.O.P. Deal

In Economy, Healthcare On
- Updated

WASHINGTON — President Trump and conservative lawmakers in the House agreed Friday to significant changes to Medicaid that could impose work requirements on able-bodied Medicaid beneficiaries in some states and limit federal funds for the program, as Republican leaders tried to rally balking lawmakers behind legislation to repeal the Affordable Care Act.

“I want everyone to know, I’m 100 percent behind this,” Mr. Trump said at the White House, where he met with House members in the conservative Republican Study Committee. At a news conference hours later, the president predicted, “It’s going to be passed, I believe — I think substantially and pretty quickly.”

On Capitol Hill, the outlook was far less clear. The House is tentatively scheduled to vote Thursday to repeal President Barack Obama’s signature domestic achievement, exactly seven years after Mr. Obama signed it into law. As some lawmakers came out for the measure, some others — in the House and Senate — were stepping forward to oppose it.

“Fundamentally, I don’t believe this proposal provides an adequate market-based option for insurance access, nor does it address out-of-control costs,” Representative John Katko, Republican of New York, said in a statement on Friday. “Further, I am confident the proposal would harm hospitals across my district.”

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