Doctors, patients and health experts are bracing for massive coverage losses as House Republicans are poised to impose Medicaid work requirements as part of the “Big, Beautiful Bill.” They are warning that a blizzard of red tape and administrative hurdles will strip people of needed healthcare.

Republican infighting over Medicaid work requirements and raising the state and local taxes cap is threatening to derail the “one big beautiful” reconciliation bill. There are currently enough Republican detractors to sink the bill’s markup in the Budget Committee on Friday.