Medicare and Medicaid

Trump administration offers states six-month Medicaid work rule transition

States may use an optional transition through the end of June without dropping otherwise eligible people solely for failing to meet the work requirement.

Reported by 4 outlets Friday, November 13, 2026

The White House
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The Trump administration is giving states an optional six-month transition before they enforce Medicaid work requirements, the Centers for Medicare and Medicaid Services said. The requirements are still set to take effect Jan. 1. States using the “hold harmless” period may check whether people meet the rules or qualify for an exemption, but cannot deny applications or disenroll otherwise eligible people solely for failing to meet the requirement.

The rules will require millions of Americans to prove they work, volunteer or attend school for at least 80 hours per month, or risk losing coverage. STAT reported that enforcement has been delayed until July 1, 2027. CMS said the transition will give states time to address workforce training needs and improve the beneficiary experience.

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