U.S. House Republicans are looking to cut Medicaid spending, imposing new restrictions on beneficiaries, and Arizona advocates are urging Congress to prevent the proposed changes. The bill would subject recipients to work requirements and more frequent eligibility checks.

The U.S. House Energy and Commerce Committee will examine cuts to the program today. While the bill does not include some of the more drastic cuts, some argued much is still at stake.

Chuck Albrecht, 67, an Arizona patient, has been living with HIV for more than two decades. He depended on the state's Medicaid program, commonly referred to as AHCCCS, until he was able to qualify for Medicare. He said without these programs, he is unsure where he would be.

"In regard to Medicaid coverage, people living with HIV and AIDS have had access to quality care," Albrecht pointed out. "They cannot be denied insurance through the ACA (Affordable Care Act) as a result of their HIV status. They have access to medications that maintain their virus and keep our viral loads at undetectable, which keeps us healthy."

Albrecht explained antiretroviral therapy makes it nearly impossible for the virus to be transmitted to others. He added Medicaid is also vital for people to access pre-exposure prophylaxis, which is medication to prevent people from becoming HIV positive. While Democrats are opposed to cuts, some Republicans such as Sen. Josh Hawley, R-Mo., said slashing health care for the working class is "both morally wrong and political suicide."

Chiquita Brooks-LaSure, former administrator of the Centers for Medicare and Medicaid Services, noted the cuts could be the biggest in the program's history and estimated about 13 million Americans could lose health coverage. She fears progress across the nation could be derailed.

"Requiring more Medicaid expansion adults, like the 52,000 people in Arizona, to pay out-of-pocket costs for certain health care services and undergo eligibility checks every six months," Brooks-LaSure outlined.

Brooks-LaSure added she disagrees with Republican leadership, which claimed the proposed cuts will not hurt anyone who is truly eligible for Medicaid, including seniors, those with disabilities or pregnant mothers and children. Close to 2 million Arizonans are currently covered by ACCCHS.


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As Congress pushes for Medicaid cuts and new work requirements for the program, experts have warned more Tennesseans could lose their health coverage through TennCare.

The U.S. House reconciliation bill would slash federal Medicaid spending by at least $700 billion to fund a tax-cut extension and other Trump administration priorities.

Jane Dimnwaobi, attorney and Equal Justice Works fellow at the Tennessee Justice Center, said tying Medicaid eligibility to work requirements is the biggest potential threat for Tennesseans. She added most would have to work or volunteer at least 80 hours a month to stay covered.

"We know there are about 1.4 million people on Medicaid, on TennCare here in Tennessee, and 300,000 of them are the kind of adults that would be affected by the work requirements provision in the bill," Dimnwaobi explained.

According to KFF in one recent year, nearly two-thirds of working-age adults on Medicaid were employed, and close to three in 10 were not working due to caregiving duties, health conditions, disabilities or school attendance, circumstances which have qualified as exemptions from Medicaid work requirements.

Dimnwaobi noted Tennessee attempted to add work requirements to Medicaid in 2018 but the waiver was not approved by federal officials. She added today, it is essentially "lying in wait" and could be approved if the big budget bill passes in the Senate. She pointed out the proposed work rule targets able-bodied adults without young children and it ignores caregiving duties and barriers like job access or transportation.

"For Tennessee, there was a projection that about 68,000 people would lose coverage under the state work requirements proposal," Dimnwaobi underscored. "We have a state that's already wanting to implement work requirements at a very strict level and now the federal budget reconciliation bill has opened the door to our state doing that."

She noted similar work requirement policies in Georgia and Arkansas dropped eligible workers, putting them and their families at risk. If the bill passes, the policy would take effect in December 2026, just after the November midterm elections.


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Pennsylvanians will rally in Harrisburg today to call attention to the urgent child care teacher shortage across the state.

The Pennsylvania Child Care Association is urging lawmakers to support the $55 million proposed in the state budget for early child care educators.

Diane Barber, executive director of the Pennsylvania Child Care Association, said it is important for lawmakers to prioritize early childhood education funding and take action to ensure child care educators are paid fairly and supported professionally.

"In the last three weeks, I know of six child care programs that have closed, and basically it has to do with they can't staff the class," Barber reported. "We have lots of empty classrooms. We have waiting lists for families, and it's really hard to fill those slots when what you're offering is $15.15 an hour."

Barber noted they have several speakers including Rep. Jeannie McNeil, D-Lehigh, who has introduced House Bill 506, which would actually create the recruitment and retention funding. The state House and Senate must pass the budget by June 30.

Barber explained they are in Harrisburg at the Capitol to urge lawmakers to see this not just as an investment in child care teachers but in the families across Pennsylvania who rely on child care.

"The governor and the General Assembly actually passed some bills around tax credits, both for families and for businesses who helped pay for child care," Barber acknowledged. "But if there's no child care to pay for because child care can't find teachers, tax credits don't go very far, so they only work for families who actually have child care."

Barber added The Pennsylvania Child Care Association is a nonprofit and part of the Start Strong PA campaign. A survey found more than 3,000 child care teacher vacancies across Pennsylvania, based on responses from just 1,100 programs. Advocates will meet with lawmakers and hold a news conference. The rally is to start at 1:30 p.m.


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Ukrainians who fled the war in their home country for temporary roots in North Dakota are waiting with worry about their ability to keep working in the U.S., as the future of a key support program is up in the air.

Separate from refugees or asylum-seekers, humanitarian parole gives people escaping a global conflict a chance to work and live temporarily in an American community. As reported by North Dakota News Cooperative, several hundred Ukrainians in North Dakota fall under that status, taking on a range of local jobs the past two years.

Yaroslav Riazanov is one of them, and with the Trump administration trying to roll back immigration relief, he is living day-to-day.

"My work permit expires in a couple of days," Riazanov explained. "I need to work because I have a lot of bills to pay, you know, it's a big stress for me."

Legal wrangling continues over humanitarian parole, with the U.S. Supreme Court recently allowing programs with four other countries to be suspended. Supporters of the Ukrainian designation said there is still too much uncertainty about applications for those folks, renewing concerns they will be forced back to a war-torn region. The White House insists the programs do not have strong enough vetting.

Michael Southam, cofounder of FM Volunteers for Ukraine, a volunteer group in North Dakota sponsoring Ukrainians approved for work status, said although it is not meant as a pathway to citizenship, some participants want to stay in stable settings longer, seeing the opportunity to better their own lives and those around them.

"They've come here at the expense of their sponsor or themselves, not the government," Southam pointed out. "They work, they contribute locally; they have their children going to our schools, they contribute through volunteer activities."

He hopes elected leaders realize the local effects and see the benefit of maintaining the programs.
While a humanitarian parolee cannot apply for a green card, they could qualify for another visa, which potentially opens doors to longer-term residency.


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