The federal budget reconciliation law passed in July will require Medicaid enrollees in 42 states and the District of Columbia to show they’re working, volunteering, or attending school for 80 hours a month starting Jan. 1, 2027, to keep their coverage. Children and pregnant people, as well as individuals with disabilities who receive Social Security payments – all groups that already qualify for Medicaid – won’t be subject to the rules. Nor will people determined to be “medically frail”, or too sick to work. [KFF, June 2026]
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