Federal lawmakers are considering adding Medicaid work requirements — meaning people would have to prove they work, volunteer or go to school in order to receive health insurance. Experts warn that many people who already work will fall through the cracks.

There are 12 exceptions to the new work reporting requirements for the Healthy Indiana Plan, or HIP. But federal lawmakers are proposing their own version of the policy for Medicaid expansion programs. Medicaid experts said under that proposal, Indiana would no longer be allowed to provide several of those exceptions.

The governor-ordered working group must “minimize the negative impact felt by enrollees and their families.”

Work requirements led to thousands in Arkansas losing their Medicaid during the first Trump administration. Policymakers say they've learned lessons to avoid mistakes this time.

The Senate GOP's plan to overhaul Indiana's Medicaid expansion program received final approval from lawmakers Thursday. The legislation now heads to the governor's desk despite concerns that it could result in people losing coverage.

House lawmakers approved a bill that reintroduces previously halted work reporting requirements to Indiana's Medicaid expansion program. Senate Bill 2 also increases how often certain eligibility requirements are checked by the state.

The state of Indiana is preparing to replace the consulting firm it works with to help prepare its Medicaid forecasts after a forecasting miss in 2023 that put the state $1 billion off the mark for Medicaid funding.

A House committee amended controversial legislation that will reintroduce previously halted work reporting requirements to Indiana's Medicaid expansion program. Among other things, the committee made changes to who is exempt from the work reporting requirements.

Advocates and Medicaid members said proposed changes to Medicaid could lead to bigger issues for Hoosiers and the state. Demonstrators called on lawmakers and the governor to protect Medicaid from changes being made at the state and federal level.

"One error could mean a loss of coverage and a patient making a choice between rent and lifesaving insulin," said Edgewater Health President and CEO Dr. Danita Johnson Woods.