State Policy
Arizona Launches Work Requirement Portal as States Update Medicaid Eligibility Systems
Arizona's Medicaid agency launched KeepMyAHCCCS.com to educate members about federal work requirements under H.R. 1, offering exemption information and contact updates. Nebraska DHHS notified Medicaid members that new federal noncitizen eligibility restrictions take effect October 1, 2026, potentially shifting some members to other programs. Meanwhile, Delaware and Massachusetts enacted protections limiting immigration enforcement in healthcare facilities. The District of Columbia passed medical debt protections capping interest at 3%, prohibiting credit reporting, and requiring financial assistance screening. Colorado's marketplace released 2027 open enrollment resources reflecting premium assistance and immigrant coverage changes.
Why it mattersState Medicaid agencies face immediate implementation deadlines for federal eligibility changes affecting noncitizens and work requirements, requiring member communication, system updates, and coordination with alternative coverage programs by October 1.