HCR Update from Mark Sanna: Efforts to fix a glitch in the health care reform law could backfire on thousands of people with disabilities, The Hill has learned. Republicans want to change a part of the law that made 3 million middle-income people eligible for Medicaid. The law excludes Social Security income when determining eligibility for health insurance exchange subsidies or Medicaid, causing many middle-class people to become eligible for Medicaid starting in 2014.