Takes Effect

Starts to apply

Federal Health and health care

Medicaid work requirement starts for adults covered under the expansion group

States must require adults 19 to 64 in the Medicaid expansion group to show 80 hours a month of work, community service, a work program or half-time school, or matching income, to get or keep coverage. Exempt groups include parents of children under 14.

Who it affects

Medicaid applicants and enrollees aged 19 to 64 in the expansion group, and states

When

The changes described here start on January 1, 2027.

Official text

FR Doc. 2026-11094: Medicaid Program; Community Engagement Requirement for Certain Individuals
On Federal Register. The official text is what counts; read it before you act.

Not legal advice. Plain-English summaries to help you find what changes and when. Not legal advice: read the official text, and ask a lawyer about your situation.

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