New Medicaid rules going into effect in 2027
•March 18, 2026•
by DM Williamee
New Medicaid rules arising from the hotly debated, often criticized H.R. 1 (the 2025 federal budget reconciliation law) require that beginning January 1st, 2027, the majority of adults aged 19 to 64 who receive Medicaid also work or participate in ‘community engagement activities’ such as paid work, volunteering with a non-profit, enrollment in higher education or trade schools, and approved forms of training for at least 80 hours per month to maintain coverage.