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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.) said Thursday that GOP leaders “absolutely” intend to speed up the implementation to ease the concerns of the Republicans threatening to sink the package if changes aren’t made. 

“That helps support,” Scalise said. 

Under the initial version of the legislation, the new work requirements would take effect in 2029 — a four-year delay that many conservatives say is far too long. Some are pointing to that provision specifically as a major reason why they wouldn’t support the package in its current form. 

Scalise did not specify how quickly the requirements would take effectbut committed to an expedited timeline. 

“We haven’t worked out those final details yet. But I think you can expect [the date] to move up.”