While last year’s H.R. 1, often referred to as the “One Big Beautiful Act Bill,” introduced a requirement that Medicaid applicants document that they have worked, attended school, or participated in some form of community engagement for one month as a condition of eligibility for the program, a few states are looking to make that requirement more rigorous.
Indiana, for example, has turned that one-month requirement into three months and Missouri, Arizona, and Kentucky are considering increasing the requirement as well.
Missouri officials are even proposing a constitutional amendment that would ban the state from expanding the scope of current hardship exemptions to the work/community engagement requirement.
Learn more about how states are implementing, or considering implementing, the new Medicaid work/community engagement requirement from the KFF Health article “New Federal Medicaid Rules Require One Month of Work. Some States Demand More.”