This Civilla report provides evidence-based recommendations for states implementing Medicaid work requirements under H.R. 1, which takes effect January 1, 2026. The requirements will affect nearly 20 million Medicaid recipients and mandate 80 hours per month of qualifying activities (work, community service, or education) or documented exemptions.
The Stakes:
- Millions could lose Medicaid coverage if states underestimate the communication and design challenge