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State Agencies Issue Notices to Medicaid Recipients Regarding New Federal Work Requirements

State agencies across the country are notifying residents of new federal Medicaid work requirements that will affect adults aged 19 to 64. Under the new rules, recipients must complete 80 hours of work, volunteering, or educational activities per month to maintain their health insurance coverage. The administration announced these changes as part of a major tax bill passed by Congress last year. Pennsylvania is mailing notices to over 700,000 residents to help them navigate the new rules and identify potential exemptions. In Oklahoma, over 250,000 people have received letters warning them to take action to stay eligible. New Mexico is also mailing notices to over 230,000 recipients, with some individuals expected to lose eligibility as early as October 1. While many recipients qualify for exemptions—including pregnant women, parents of children under 14, and those with specific disabilities—medical groups are advocating for clearer standards. The American College of Rheumatology and the American Medical Association have asked the Centers for Medicare & Medicaid Services to reconsider the current approach to judging medical frailty, arguing that a diagnosis alone should be sufficient for an exemption rather than a functional assessment of work capacity.

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