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Medicaid is a means-based program, meaning that only low-income people (the income cut-off varies by state) will be affected by these changes. An increase in the access requirements, no matter what those requirements entail, will necessarily reduce the number of people who are able to access Medicaid. Any additional requirements will serve to make people who are currently eligible for Medicaid ineligible. In other words, less low-income people will have access to healthcare so more low-income people will have even worse health outcomes. The change in policy will also e