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33 <br />Federal Reconciliation Package - Medicaid Changes <br />There would be Work Requirements: <br />•New Medicaid work requirements could increase administrative burdens <br />and reduce access to care for vulnerable residents <br />For Medicaid Cost Sharing: <br />•The bill imposes new out-of-pocket costs on low-income Medicaid <br />enrollees, likely to increase uncompensated care in county hospitals and <br />clinics. <br />Changes to SNAP (Supplemental Nutrition Assistance Program): <br />•The bill increases the state and county administrative cost share from 50 <br />to 75 percent