Though the reconciliation bill exempts people in poor health or who have caregiving responsibilities from Medicaid work requirements, in practice, many people facing barriers to work would be at high risk of losing coverage.

Medicaid coverage helps people access the health care they need to work and go to school. Enacting proposed work requirements would make it more difficult for working people and students to obtain and keep Medicaid and would disproportionately affect those who are disabled or in poor health.

The US Supreme Court’s ruling in Medina v. Planned Parenthood South Atlantic could prevent Medicaid beneficiaries from suing to enforce the free choice of provider provision, potentially limiting access for reproductive care in South Carolina and other states.

Trump accounts aim to begin the savings journey for America’s children, but without a centralized savings plan, additional federal deposits, or outreach, those most in need would be less likely to benefit from the program.

This three-tier model helps local governments identify AI tools that meet their needs and helps them understand the capacity and guardrails they need to use those tools responsibly and effectively to serve residents.