Experts express serious concerns regarding the practicality of Trump's 'One Big, Beautiful Bill', which introduces work requirements for Medicaid. Nearly 20 million Americans may need to verify their work hours, risking coverage loss by 2034 due to staffing shortages in agencies. Despite its appeal to Republicans, the complexity of implementing procedural changes by January 2027 poses significant challenges. Former Treasury officials warn of potential delays and breakdowns in service in managing the expanded responsibilities that come with the bill's provisions.
"Medicaid is a federal and state partnership, they have to administer it and essentially build a machine to administer this new set of bureaucracy that the tax bill is putting on them."
"Increasing the procedural legwork for an operation as big as Medicaid by the deadline of January 2027 may be a customer-service nightmare waiting to happen."
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