Multiple states are advancing plans to impose work requirements for Medicaid beneficiaries, raising fears that more than 5 million people could lose their coverage if they fail to meet these new criteria. Advocacy groups and affected individuals are expressing strong concerns about the implications of these policies, particularly for vulnerable populations such as older and disabled recipients. While states like Iowa and North Carolina are pressing for waivers to implement these changes, critics argue that few supportive programs exist to help enrollees secure employment. As local governments grapple with potential Medicaid cuts, many residents worry about the financial and health repercussions that could follow if these initiatives are enacted.