US Benefits Guide

Medicaid Work Requirements Finalized

Medicaid Work Requirements Finalized

Key Questions

What does the new CMS rule require for Medicaid expansion enrollees?

The interim final rule mandates 80 hours per month of work or community service for expansion enrollees, effective January 2027. Exemptions apply to pregnant individuals, disabled people, caregivers, and others. States receive $200 million for technology upgrades to implement this.

How many people could lose Medicaid coverage due to the work requirements?

The CBO estimates that 5.3 million people could lose coverage as a result of the new rules. This accounts for those unable to meet the requirements or navigate exemptions.

What support is available for states implementing these changes?

States are provided $200M for tech upgrades to manage the work requirements. Implementation details, hardship exemptions, and state responses are covered in related articles.

CMS issued interim final rule requiring 80 hrs/month work/community service for expansion enrollees starting Jan 2027. Exemptions for pregnant, disabled, caregivers, etc. States get $200M for tech upgrades. CBO estimates 5.3M could lose coverage. Multiple articles cover implementation, hardship exemptions, and state responses.

Sources (2)
Updated Jun 4, 2026
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