Medicaid eligibility re-checks moved to every six months
Enacted8/10
Federal · H.R.1, One Big Beautiful Bill Act, Pub. L. 119-21 · Jul 4, 2025
Impact 8/10
The law requires states to redetermine Medicaid eligibility at least every six months for adults covered through the ACA expansion, replacing annual renewals, with implementation required by December 31, 2026. The Urban Institute projects the requirement could reduce expansion enrollment by 2 to 3.1 million people by 2028, largely through procedural disenrollments of people who remain eligible.
HealthcareWorking-age adultsLow-incomeParents / caregiversImmigrants
Sources
✓ Verified against primary sources 2026-08-16