States must make community engagement a condition of eligibility
What the document says“a State shall provide, as a condition of eligibility for medical assistance for an applicable individual, that such individual is required to demonstrate community engagement under paragraph (2)--”
The section adds a new subsection (xx) to section 1902 of the Social Security Act (42 U.S.C. 1396a) requiring a State, no later than the first day of the first quarter beginning after December 31, 2026 or an earlier date the State chooses, to make demonstrating community engagement a condition of eligibility. An applicant must show it for one to three consecutive months right before the month of application, as the State specifies, and an enrollee for one or more months, whether or not consecutive, between determinations or between verifications.
What the document actually says“a State shall provide, as a condition of eligibility for medical assistance for an applicable individual, that such individual is required to demonstrate community engagement under paragraph (2)--”
The state must make this a rule for getting Medicaid. The person must show they took part in work or study.
It starts with the first quarter after 2026. A state may start sooner. An applicant must show it for up to three months before applying.
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