House Republicans are using the debt ceiling standoff to advocate for one of their longstanding goals – requiring more low-income Americans to work in order to receive government benefits, particularly food stamps and Medicaid.
They see work requirements as a twofer, allowing them to reduce government spending, while bolstering the nation’s labor force at a time when many businesses are still struggling to staff up.
Still, the controversial policy, included in House Speaker Kevin McCarthy’s package to increase the debt ceiling, is causing some consternation within the Republican conference, with hardliners wanting to include even stricter requirements and with moderate members in swing districts concerned they could face blow back over the issue.
Here’s what is in the plan:
Childless, able-bodied adults ages 18 to 55 could get food stamps for only three months out of every three years unless they are employed at least 20 hours a week or meet other criteria. Currently, that mandate applies to those ages 18 to 49, though it has been suspended during the Covid-19 public health emergency, which expires next month.
Estimates on how many people this would affect vary. In an analysis released Monday, the Congressional Budget Office said that 275,000 folks, on average, would lose benefits each month because they fail to meet the requirement and are not otherwise exempt. Another 19,000 people would receive small benefits because of the new income they earn.
Others project a potentially larger impact. The provision would put about 900,000 folks between the ages of 50 and 55 at risk of losing their food assistance unless they work sufficient hours and record that employment with their state agencies, receive an exemption or live in an area where the mandate is waived, according to the left-leaning Center on Budget and Policy Priorities.
The debt ceiling package would also require certain adult Medicaid recipients to work, perform community service or participate in an employment program for at least 80 hours a month or earn a certain minimum monthly income. It would apply to those ages 19 to 55, but not those who are pregnant, parents of dependent children, physically or mentally unfit for employment or enrolled in education or in substance abuse programs, among others.
This largely targets low-income adults who qualify under Medicaid expansion, an Affordable Care Act provision. Medicaid has never had a work requirement, but the Trump administration granted waivers to several states to impose such a mandate on certain enrollees. Litigation stopped or chilled states’ implementation of the effort, and the Biden administration subsequently withdrew the permissions – though a federal district court judge allowed the initiative to proceed in Georgia.
The provision would result in about 1.5 million adults, on average, losing federal funding for their Medicaid coverage, according to the CBO. But states would pick up the full tab for about 900,000 of them, leaving around 600,000 uninsured.
Plus, the debt ceiling bill would make changes to the work requirement provisions of the Temporary Assistance for Needy Families program, which was created out of the 1996 welfare reform package.