This letter responds to a request for information about the Congressional Budget Office’s estimate of the budgetary effects of work requirements for the Medicaid program, as provided in H.R. 2811, the Limit, Save, Grow Act of 2023. In the agency’s estimation, under those requirements, federal costs would decrease, the number of people without health insurance would increase, the employment status of and hours worked by Medicaid recipients would be unchanged, and state costs would increase.

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