Navigating H.R. 1: A Medicaid Checklist for Government Agencies

H.R. 1 introduces a sweeping shift in Medicaid eligibility. Under H.R. 1, states must validate that non-exempt adults in the expanded Medicaid population meet community engagement requirements—typically 80 hours of work, education, or service each month. With the clock ticking toward the 2026 implementation deadline, the administrative lift could be significant.

This checklist helps agencies evaluate where their systems stand today, and where automation and third-party data can reduce manual processing, prevent coverage interruptions, and maintain compliance.