
Democrats are finding it challenging to use Medicaid cuts as a campaign tool for the upcoming midterm elections, as most of the Republican-backed changes won’t take effect until after 2026.
According to Politico, the One Big Beautiful Bill Act, which includes significant changes to Medicaid, has been structured by Republicans in a way that delays the most controversial elements. Work requirements won’t start until 2027, and financing changes are pushed to 2028.