House Speaker Mike Johnson is adjusting the timeline for implementing Medicaid work requirements to gain support from fiscal hawks after setbacks in committee for the "One Big Beautiful Bill." Five Republicans opposed advancing the bill, citing insufficient spending cuts. Concerns have arisen regarding the states' ability to implement the changes effectively, and while fiscal conservatives desire an expedited timeline, Johnson has not confirmed specific adjustments. The House Budget Committee is set to reconvene to review modifications, including contentious SALT cap increases.
Currently, the "One Big Beautiful Bill" would implement a mandated 80-hour-per-month work requirement on able-bodied adults aged 19-64 starting in 2029.
Fiscal hawks wanted that implemented much sooner. Johnson didn't specify where the compromise would be but noted that talks are ongoing.
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