Nearly 5.6 Million Community Health Center Patients Could Lose Medicaid Coverage Under New Work Requirements, with Revenue Losses Up to $32 Billion

In a blog post   for  The Commonwealth Fund’s to the Point, Sara Rosenbaum  and colleagues consider the implications   of the budget reconciliation bill passed in the U.S. House of Representatives on May 22, 2025 which will require  all states to adopt  work requirements as a condition of Medicaid  enrollment  for low-income   working-age people who gained  coverage based on the Affordable Care Act Medicaid expansion.  Mandatory work requirements could  cause  nearly 5.6 million community health center patients nationally to lose  coverage over 5 years. Health center revenue losses could reach up to $32 Billion, threatening the viability of this essential backbone of primary care in underserved communities.