The Trump administration will give states the option to delay implementing Medicaid work requirements by six months, according to the Centers for Medicare and Medicaid Services. announced Fridaymeaning some states may choose to launch this controversial policy in July rather than January of next year.
The deadline is optional, however, and states that want to move forward and begin disenrolling individuals who cannot prove they meet the requirements or qualify for an exception can still do so. States must inform the Trump administration by December 11 of the path they plan to take.
In a Friday letter to state officialsFederal agency leaders said they were offering states this “blackout period” in response to feedback from across the country about “barriers to successful large-scale launches, policy updates, operations and overall readiness.” States now have until June 30, 2027 to put in place the verification systems to enforce the new rules on work requirements.
Republicans established Medicaid work requirements as part of the One Big Beautiful Bill and scheduled them to be mandatory nationwide starting January 1. The rules state that all adults ages 18 to 64 enrolled in the Affordable Care Act’s Medicaid expansion prove they perform at least 80 hours of work or other qualifying activities per month, such as taking classes or volunteering, unless they meet certain exemptions.
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