Explore significant Medicaid and Medi-Cal changes brought by the One Big Beautiful Bill Act, including work requirements, co-pays, long-term care asset rules, and immigration-related coverage adjustments.

Proposed Medicaid work requirements under congressional review pose risks of coverage loss for millions, especially caregivers dependent on flexible Medicaid policies. Historical and administrative challenges highlight potential disenrollment risks.

Several U.S. states seek federal approval for Medicaid work requirements amid mixed evidence from Arkansas' experience. New proposals aim to reduce administrative burdens and support beneficiaries but risks of coverage loss remain.