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Guidance on implementing six-month renewals for the Medicaid adult expansion group, as required by H.R. 1 was sent to state Medicaid directors earlier today (March 6, 2026). The delayed guidance (which was due by December 31, 2025) has kept states waiting for key details that are needed to set state policy, make system changes, and…

Georgetown CCF has been closely tracking Medicaid and CHIP enrollment periodically over the past decade, – most recently as states began “unwinding” continuous coverage protections put in place during the pandemic. Now, as states prepare to implement H.R.1, including mandatory work reporting requirements and more frequent renewals for people covered through Medicaid expansion, while mixed-status…