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SB 134 Signed into law

Medicaid Work Requirements

149 Democrats voted AGAINST work requirements for welfare

What This Bill Does

SB 134 requires able-bodied adults receiving Medicaid to work, volunteer, or attend school for at least 80 hours per month to maintain coverage. The requirement has broad exemptions: pregnant women, parents of young children, people with disabilities, those in treatment for substance abuse, and individuals over 65 are all exempt. The House passed it 204-150. The Senate passed it 16-8 (strict party line — all Republicans yes, all Democrats no).

The Full Story

The requirement is modest: 80 hours per month, or about 20 hours per week. It can be fulfilled through paid work, volunteering, community service, education, or job training. Anyone who is pregnant, disabled, caring for a young child, in substance abuse treatment, or elderly is exempt.

Democrats called it "an income tax on the poor." House Minority Leader Alexis Simpson and Sen. Rebecca Perkins Kwoka co-authored an op-ed claiming low-income Granite Staters would "pay what is essentially a Medicaid income tax to keep their health care — almost $300 a month for a family of four." They argued "far too many Granite Staters are skipping care because of the cost." But polling consistently shows 70%+ of Americans support the basic principle: if you're able-bodied and receiving government healthcare, you should contribute to society in some way. Only 9 Democrats voted for work requirements — the other 149 voted against any work expectation whatsoever for able-bodied welfare recipients.

Party Breakdown

Republicans

193 Yea

0 Nay · 21 Absent/NV

Democrats

9 Yea

149 Nay · 19 Absent/NV

What Voters Think

70%+ of Americans support work requirements for able-bodied adults receiving government benefits

Multiple national polls, 2023-2025

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