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People covered by Medicaid, the joint federal-state health insurance program for low-income individuals, face new enrollment rules that take effect in 2027.
The One Big Beautiful Bill Act of 2025 introduced those changes on what the law itself describes as a short implementation timetable. States must begin notifying affected enrollees in September.
What the new rules require of enrollees The 2025 law adds two new conditions to Medicaid eligibility.
The first is twice-yearly eligibility checks: a mechanism requiring enrolled beneficiaries to verify their continued eligibility at two separate points during the year.
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