06/16/2026
New Medicaid Work Requirements Are Coming: What Pennsylvanians Should Know Before 2027
A major federal change is coming to Medicaid, and it's important to understand. On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a new rule putting "community engagement" or work requirements into effect for many adults on Medicaid.
Beginning January 1, 2027, certain adults ages 19 to 64 in the Medicaid expansion group will need to show at least 80 hours per month of work, school, job training, or volunteering to keep their coverage. Because Pennsylvania expanded Medicaid, this will affect many people right here in our communities.
Here's what matters most for families: many people with disabilities are exempt (including those who receive SSI or SSDI, are medically frail, are caregivers, or have a serious medical condition) but the exemptions are not always automatic. You may need to provide documentation to the state to prove you qualify. Something as small as a missed letter or a lost form could mean losing coverage you're entitled to keep.
The good news is there is still time to prepare, and a public comment period is open through July 31, 2026.
The American Association of People with Disabilities has published a clear, plain-language FAQ that explains who is affected, who may be exempt, and how to get ready:
https://www.aapd.com/medicaid-work-requirements-faq/
If you or a loved one relies on Medicaid for long-term care, Home and Community-Based Services, or other supports, let's talk about how these changes may affect your planning.
Contact Maureen Kroll, Attorney at Law, for the help you need. Call me at 724-863-6770, or visit my website today: https://www.maureenkroll.com/
Disclaimer: This post is not intended as tax, accounting, or legal advice. This material has been prepared for informational purposes only.