On June 1, 2026, CMS issued an interim final rule requiring non-elderly adults in Medicaid expansion states to complete 80 hours per month of work or qualifying activities to keep coverage starting January 1, 2027. The rule's restrictive medical frailty definition and a July 31 public comment deadline are drawing sharp criticism from patient advocacy groups and medical associations, with legal challenges anticipated.
Answer where you stand first — what you want and what you expect are different questions.