Millions of Medicaid Recipients Face New Work Rules: Who Is Exempt?
Summary
Starting January 1, 2027, many adults covered by Medicaid through the Affordable Care Act expansion must work, study, or volunteer 80 hours a month to keep their health coverage. Some groups, like pregnant women, people with disabilities, and caregivers, will not have to follow these new rules.Key Facts
- The Centers for Medicare & Medicaid Services (CMS) issued new work requirements for certain Medicaid recipients under ACA expansion.
- Recipients must complete 80 hours per month of work, community service, job training, or education to apply for or keep Medicaid.
- The requirement applies to adults aged 19 to 64 who are not on Medicare.
- People earning at least $580 monthly, the equivalent of 80 hours at minimum wage, meet the requirement.
- States must check if individuals meet these requirements when they apply or renew coverage.
- Those unable to verify compliance get 30 days to prove they qualify or show an exemption.
- Exemptions include pregnant people, former foster youth, Native Americans, disabled veterans, caregivers for young children or disabled individuals, and medically frail people.
- The new rules come from recent legislation called the Working Families Tax Cut and aim to encourage work and independence.
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