A Comprehensive Analysis of Proposed Healthcare Reforms
Project 2025, developed by The Heritage Foundation and a coalition of conservative organizations, presents sweeping proposals to fundamentally restructure Medicaid, the federal-state health insurance program serving over 74 million Americans. These proposals, detailed in the 900-page “Mandate for Leadership: The Conservative Promise,” represent one of the most significant proposed overhauls of the safety net program since its inception in 1965123.
Cover of “Mandate for Leadership,” the policy document for Project 2025 mandateforleadership
The document’s Medicaid reform agenda centers on reducing federal spending, implementing work requirements, and shifting greater responsibility to states while restricting eligibility and benefits. Analysis by the Congressional Budget Office and policy research organizations indicates these changes could result in hundreds of billions in federal savings while potentially leaving millions without healthcare coverage1456.