Applies to everyone, not just illegals...
Key Medicaid cuts and when they take effect...
Beginning December 31, 2026: Work Requirements: Expanded Medicaid enrollees (ages 19–64) must report 80 hours of work or related activities per month, or have a qualifying exemption, to maintain coverage.
More Frequent Renewals: Eligibility for Medicaid expansion enrollees will be redetermined every six months instead of annually. Research indicates this will cause many eligible people to lose coverage due to administrative hurdles.
Shorter Retroactive Coverage: The period for retroactive Medicaid coverage for medical bills is reduced from 90 days to one or two months, depending on the enrollee's status.
Beginning October 1, 2026: Immigrant Eligibility Restrictions: Changes to eligibility rules will make some lawfully present immigrants, such as refugees and asylum seekers, ineligible for Medicaid.
End of Expansion Incentives: This date marks the end of additional federal funding incentives for states that choose to newly expand Medicaid, likely discouraging remaining non-expansion states from doing so.
Beginning October 1, 2028: Higher Out-of-Pocket Costs: New cost-sharing requirements will be imposed on Medicaid expansion enrollees with incomes above 100% of the federal poverty level.
Provider Taxes: Federal limits on the percentage of Medicaid funding states can raise through taxes on healthcare providers will begin to decrease annually.
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