#10 No matter how broad a list of exclusions, key groups will inevitably be excluded. The bill contains no exclusion for victims of interpersonal violence, or individuals seeking week, or even someone who is out of work for two weeks because of covid. 11/11

#9 The proposed bill contains a list of “excluded individuals," but in practice these processes are often poorly publicized and deliberately complicated. Exemptions are fig leaves that try to cover the fact that the bill will terminate coverage for millions of people it claims to exempt. 10/11

#8 The bill lets states lock individuals out of coverage for months, or even years. States can require proof that an individual has worked consecutive months or even years prior to an initial Medicaid application – there is absolutely no cap on how long in the past a state can look. 9/11

# 7 The bill lets states require compliance and verification every single month, with no leeway for an individual to fail. Low-wage shift or seasonal workers are particularly at risk – if their supervisor fails to schedule them for sufficient hours, they could lose their health care. 8/11

#6 The bill cuts off access to marketplace insurance for anyone who fails to meet the work requirement, leaving people without any source of insurance for long swaths of time. 7/11

#5 It harms disabled people. Approximately 20-25% of Medicaid expansion enrollees have disabilities. Even when exemptions are in place, exemptions processes are often so complex they are designed to fail. 6/11

#4 It harms older adults in Medicaid expansion. Unlike some previous proposals that stopped at age 50 or 56, the bill applies to older adults up to age 65. Roughly 70% of low income adults aged 50-64 have a chronic conditions and poor health, but will still be subject to the work requirements. 5/11

# 3 It fails to increase employment. It ignores decades of evidence that benefit loss penalties do not increase employment. It does not fund child care, or provide transportation, or offer new training opportunities. Those policies require more resources, which the bill does not include. 4/11

# 2 It is mandatory-- every state would be required to implement the penalty 3/11

#1 The bill shuts the front door to care, forcing enrollees to prove compliance before they can access coverage. This essentially ends Medicaid expansion as we know it, making it very difficult for individuals to enroll. 2/11

#5 It harms disabled people. Approximately 20-25% of Medicaid expansion enrollees have disabilities. Even when exemptions are in place, exemptions processes are often so complex they are designed to fail. 6/11

#4 It harms older adults in Medicaid expansion. Unlike some previous proposals that stopped at age 50 or 56, the bill applies to older adults up to age 65. Roughly 70% of low income adults aged 50-64 have a chronic conditions and poor health, but will still be subject to the work requirements. 5/11

# 3 It fails to increase employment. It ignores decades of evidence that benefit loss penalties do not increase employment. It does not fund child care, or provide transportation, or offer new training opportunities. Those policies require more resources, which the bill does not include. 4/11

# 2 It is mandatory-- every state would be required to implement the penalty 3/11

#1 The bill shuts the front door to care, forcing enrollees to prove compliance before they can access coverage. This essentially ends Medicaid expansion as we know it, making it very difficult for individuals to enroll. 2/11