Templates & Toolkits | Oct 6, 2025

Comparing Medicaid and Supplemental Nutrition Assistance Program Work Reporting Requirements Exemptions

Patti Boozang, Kinda Serafi, Lisa Sbrana, Liz Dervan and Morgan Cooper, Manatt Health

H.R.1 provides for certain mandatory exemptions from Medicaid work reporting requirements, including for some people enrolled in the Supplemental Nutrition Assistance Program (SNAP). As states implement H.R.1’s Medicaid work reporting requirements, they may be considering how to leverage data already available in their systems through SNAP to appropriately identify people who should be exempt from these new requirements in Medicaid.

To support this work, this tool outlines areas where exemptions from Medicaid’s new work reporting requirements may overlap or relate to exemptions in SNAP to help states identify people who should not be subject to work reporting requirements in Medicaid. This tool lays out mandatory and optional exemptions from Medicaid work reporting requirements in H.R.1, identifies whether SNAP has a corresponding exemption, and describes whether information in the state’s public benefit system can be leveraged to exempt individuals from Medicaid’s new requirements.