Templates & Toolkits | Dec 12, 2025

Designing Effective Verification Pathways for Exempt Populations at Heightened Risk of Coverage Loss Under Mandatory Work Reporting Requirements

Kinda Serafi, Patti Boozang, Jocelyn Guyer, Mindy Lipson, Chris Cantrell, Gini Morgan, Yngvild Olsen, and Anna Lansky, Manatt Health

H.R.1 fundamentally restructures Medicaid by conditioning eligibility for expansion adults on compliance with new work reporting requirements. States face the challenge of operationalizing at scale, and in a way that minimizes coverage loss, exemptions from Medicaid work reporting requirements for certain groups of enrollees. This toolkit offers a high-level roadmap for how states can plan to identify and protect three exempt populations.