Letters are arriving at the homes of nearly 700,000 Pennsylvanians on Medicaid, warning that adults on the expansion program will have to show 80 hours a month of work or similar activity. The rule begins in January 2027. People who do not meet it, and do not report an exemption, can lose coverage.
The state Department of Human Services announced the mailings on September 10, 2026. Automated calls and text messages follow the letters.
Which adults the letter is about
The requirement reaches adults ages 19 to 64 who get Medicaid through the state’s expansion program and do not have a dependent child under 14, according to the department’s FAQ. It applies to new applicants and to people already enrolled. Medicaid recipients outside that group, including children and most older adults, are not the target of this letter…