Strong Support Across Party Lines for Medicaid Accountability Measures
Trump Medicaid Reforms, The people of Minnesota have spoken — and they’re firmly behind the sweeping Medicaid reforms passed in President Donald Trump’s newly enacted “One Big Beautiful Bill.” According to the latest Thinking Minnesota Poll, Minnesotans from all backgrounds overwhelmingly support common-sense changes to ensure Medicaid works for those who truly need it.
The survey, conducted by Meeting Street Insights, revealed robust bipartisan approval for key provisions of the legislation. These include work requirements, annual eligibility reviews, and ending benefits for non-residents and illegal immigrants — reforms aimed at restoring fairness and sustainability to the nation’s most critical healthcare safety net.
Minnesotans Back Tougher Medicaid Eligibility Checks
The message from Minnesota voters is crystal clear: Medicaid must serve the truly needy — not abusers of the system.
According to the poll:
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89% support requiring Medicaid recipients to reside in Minnesota to receive benefits.
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75% support conducting annual eligibility reviews to maintain benefits.
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58% back a requirement that able-bodied adults must work or seek employment to qualify for Medicaid coverage.
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61% oppose taxpayer-funded healthcare for illegal immigrants.
These figures reflect a growing frustration among voters who feel the system has been stretched thin by loopholes, abuse, and rising costs — especially at the expense of working-class taxpayers.
Minnesota’s Soaring Medicaid Costs Raise Alarm Bells
Minnesota is one of the most generous states in the country when it comes to welfare spending. But with generosity comes growing concern over abuse and inefficiency.
According to the U.S. Census Bureau, Minnesota ranks #2 in Medicaid spending per capita among all U.S. states. In fact, it spends more per person in poverty on welfare than 48 other states.
This staggering expenditure has voters questioning how their tax dollars are being used — and who is truly benefiting from the system.
A full 53% of poll respondents agree that Minnesota spends more on Medicaid than other states. That’s not just perception — it’s fact. The survey also found that welfare programs top the list of areas most associated with waste, fraud, and abuse in state government.
Trump’s Bill Offers Bold Reforms for a Broken System
Passed by Congress and signed into law on July 4, 2025, Trump’s “Big Beautiful Bill” delivers sweeping reforms not only on taxation and border security, but also on Medicaid — one of the federal government’s most costly programs.
The legislation restores the original purpose of Medicaid: to protect vulnerable Americans like low-income families, the elderly, children, and the disabled. Over the past decade, however, that purpose has been blurred by policies that expanded eligibility to able-bodied, working-age adults — many of whom do not work.
Between 2013 and 2021, under the Obama administration, Medicaid rolls ballooned by 20 million people, the vast majority being non-disabled adults. Today, more than 70 million Americans are on Medicaid — double the number of people living below the federal poverty line.
Trump’s plan changes that trajectory.
Work Requirements Are a Big Win for Taxpayers
A cornerstone of the bill is the implementation of Clinton-era work requirements for able-bodied adults ages 19 to 64 who have no dependents. Under the new law, these individuals must:
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Work, attend school, or volunteer for at least 20 hours per week
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Comply with eligibility reviews every 12 months
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Show proof of residency in their state
Exemptions exist for pregnant women, new mothers, individuals with disabilities, and those facing short-term hardships. These commonsense rules ensure Medicaid benefits are preserved for those who need them most — while empowering others to transition into employment and independence.
No More Free Healthcare for Illegal Immigrants
Another highly supported aspect of the law is the end of Medicaid payments to illegal immigrants — a provision that aligns with the sentiments of 61% of Minnesota voters.
With the border crisis still raging, Americans are increasingly wary of public resources being stretched by non-citizens. Trump’s bill closes that door.
Only eligible U.S. citizens and lawful residents will qualify for Medicaid coverage moving forward. Those who are ineligible — including undocumented individuals — will no longer receive taxpayer-funded healthcare under the revised program.
A Blow to the Narrative from the Left
Despite overwhelming public support, Democratic politicians and left-leaning media outlets have sought to paint the bill as a gutting of Medicaid. But the numbers tell a different story.
The legislation increases Medicaid spending by 20% over the next 10 years. Only in Washington can an increase be branded as a cut.
“This bill is about fairness, integrity, and responsibility,” said John Hinderaker, President of the Center of the American Experiment. “The changes to Medicaid are about making sure the system is helping those who need it — not enabling those who abuse it.”
Poll Shows Minnesotans Know What’s at Stake
The Meeting Street Insights poll was conducted from May 28 to May 31, 2025, and surveyed 500 registered voters across Minnesota using landlines and mobile phones. The margin of error was ±4.38%.
In an era of divided politics, these results are unusually unified. Democrats, Independents, and Republicans alike show widespread approval for more accountability and efficiency in public healthcare spending.
While opponents try to spark fear with claims of “cruelty” or “cuts,” voters are increasingly seeing through the noise — and demanding accountability and reform from programs funded by their hard-earned taxes.
Minnesotans Set the Tone for the Nation
As debates over Medicaid reform heat up in other states, Minnesota’s strong support for Trump’s changes could signal a broader trend.
Working families, seniors, and small business owners want a system that is fair, efficient, and sustainable. And most agree that programs like Medicaid must be protected — not by expanding endlessly, but by ensuring they are used wisely and preserved for those who need them most.
With the passage of the One Big Beautiful Bill, President Trump and Republicans are delivering that vision — and Minnesotans are fully on board.
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