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On July 3, 2025, Congress passed the final version of its 2025 budget reconciliation legislation . The American Cancer Society Cancer Action Network strongly opposed the health changes included in ... eligibility for Medicaid coverage – this will cause many individuals to lose coverage not because they are unemployed, but because they can’t navigate the bureaucratic process to prove they are working or deserve an exemption. To be implemented by January 1, 2027. Some states may choose to implement earlier through waivers. Charging cost-sharing to Medicaid enrollees living just barely over the poverty line – which will force working families to choose between health care and ...