States must start checking 80 hours of work a month for Medicaid expansion adults by January 1, and New York City alone puts up to 900,000 of its enrollees at risk

Every state that covers adults under Medicaid expansion has to start checking whether those adults work, volunteer or study 80 hours a month. The federal deadline is January 1, 2027. In New York City, the Health Department says up to 900,000 of its enrollees could lose coverage.

The rule comes from the Centers for Medicare & Medicaid Services (CMS), which issued it as an interim final rule on June 1, 2026. It covers 43 states and the District of Columbia. The free official route is Medicaid.gov and your state Medicaid agency. Five governors asked the Department of Health and Human Services on October 1 to push the date back, Healthcare Dive reported. No delay has been announced…

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