Republicans say that able-bodied adults who don’t work would lose Medicaid coverage under the House tax-cuts-and-spending bill , while Democrats say the legislation would hurt vulnerable groups. The bill’s main target is those able-bodied adults, but other groups would lose coverage due to paperwork burdens and other provisions in the bill, health policy experts say .

The majority of coverage losses under the bill would come from those who became eligible for Medicaid due to an expansion of the program under the Affordable Care Act — those enrollees would face new work requirements unless they were subject to an exemption.

“The challenge here is that these work requirements also become sort of a paperwork requirement,” Jennifer Tolbert , deputy director of the Program on Medicaid

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