A federal Medicaid work requirement could lead to as many as 5.2M adults aged 19 to 55 losing eligibility, according to the Urban Institute.

U.S. House Republicans plan to debate and approve the three final pieces of their “big, beautiful bill” in committee this week, including the tax measure, major spending cuts to Medicaid that will change how states run the program and an agriculture bill.

Republican leaders intend to accelerate new work requirements under Medicaid as they scramble to secure the support of GOP holdouts for President Trump’s “big, beautiful bill.” House Majority Leader Steve Scalise (R-La.