CMS work rule largely leaves out Texas's main Medicaid groups
Issue
By January 1, 2027, CMS's work rule requires 80 monthly hours of work or qualifying activities from nonpregnant adults 19 to 64 in the ACA adult group or certain §1115 demonstrations. Texas has not adopted the ACA expansion, so its main parent, pregnancy, and disability groups fall outside the rule's core scope.
Texas FQHCs can plan around groups HHSC names.
Sources for this story
Centers for Medicare & Medicaid ServicesPart of
- Medicaid work-requirement implementation
The federal rule (CMS-2454-IFC)
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FQHC Talent. (2026, June 1). CMS work rule largely leaves out Texas's main Medicaid groups. Source: Centers for Medicare & Medicaid Services. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/tx-medicaid-work-req-excepted-2026