1. United States
2. Texas
3. Letter

**Introduce Legislation to Fix H.R. 1's Harmful Medicaid Provisions** H.R. 1 has passed, and the damage it will do to people with rapidly progressing conditions is now a matter of when, not if. Please introduce legislation to fix the Medicaid work requirements and six-month eligibility redeterminations that will strip coverage from people who cannot survive even a brief gap in treatment. The Urban Institute projects between 4.9 and 10.1 million people will lose Medicaid by 2028 under this law. Many of them already work — they just can't document it on a government form. For someone managing a serious chronic condition, one missed month of coverage can mean a skipped medication, a derailed treatment plan, or a medical crisis. That's not a worst-case scenario. It's the predictable result of paperwork-driven coverage losses applied to people whose health deteriorates fast without continuous care. Decades of research show work requirements don't move people toward self-sufficiency — they create bureaucratic traps. A corrective bill that removes these provisions would protect the people most harmed by this law before those harms become irreversible.