
Beginning January 1, 2027, new federal Medicaid work requirements will apply to adults across the U.S. enrolled in Medicaid expansion programs. You’ll also hear these requirements referred to as “Medicaid Community Engagement.” These requirements will require certain Medicaid recipients to participate in work, education, job training, or community service activities to maintain coverage. The new rules are part of the federal budget reconciliation bill (H.R.1) enacted in 2025. While implementation details will vary by …

