Free printable flyer: the new Medicaid work rule
A one-page flyer in English and Spanish that explains the 80-hour Medicaid work rule in plain language. Free to print, post and hand out.
What the flyer says
- The new Medicaid work rule starts by January 1, 2027, and a few states started earlier.
- Who it applies to: adults 19 to 64 in the Medicaid expansion group.
- How to meet it: 80 hours a month of work, community service, job training or school, school at least half-time, or $580 a month in income.
- The main exemptions, such as parents and caregivers of a child 13 or younger, pregnancy, medically frail, American Indians and Alaska Natives, and veterans with a total disability rating.
- What to do now: keep your contact information current, open your mail, keep proof, and report when your state asks.
- What to do if you get a notice: you have at least 30 days, coverage continues during that time, and you can ask for a fair hearing.
- A QR code that opens our free checker (the Spanish flyer opens the Spanish checker).
Who it is for
Food banks and pantries, community health centers and clinics, legal aid offices, libraries, Medicaid navigators and assisters, caseworkers, shelters, faith groups, and anyone who helps adults keep their Medicaid coverage. Post it on a bulletin board, hand it out at the front desk, or include it in a mailing.
Free to print and share
You do not need to ask us. Print as many copies as you like, post them, and share the PDF by email or on your website. Please print the flyer without changes so the facts and the "information as of" date at the bottom stay accurate.
- Print on US Letter paper at "actual size" or 100%. Black and white works.
- The flyer is not a government notice. It says so at the bottom, and it tells readers to confirm details with their state Medicaid agency.
- When the rules change, we update the flyer here. Check this page for the newest version.
Link to this page
If the flyer is useful to you, please link to this page from your website or resource list, so others can find the newest version:
You can also add our free Medicaid checker widget to your own website.
Frequently asked questions
Is this an official government flyer?
No. Medicaid Work Rules is an independent educational website. It is not part of CMS or any state Medicaid agency. Every fact on the flyer comes from our pages, which cite the law and the CMS rule.
Can I hand out copies at my organization?
Yes. The flyer is free to print, copy, post and share. You do not need permission. Please print it without changes.
Where does the QR code go?
The English flyer's code opens medicaidworkrules.com, our free checker. The Spanish flyer's code opens the Spanish checker at medicaidworkrules.com/es/.
Will the flyer change?
Yes, when the rules change. The date the information was checked is printed at the bottom of the flyer. This page always has the newest version.
Sources
- Public Law 119-21 (H.R. 1), sec. 71119: community engagement requirement (GovInfo)
- CMS interim final rule, Medicaid community engagement requirement, 91 FR 33348 (June 3, 2026)
- CMS fact sheet: community engagement interim final rule (June 1, 2026)
- Massachusetts v. Oz, No. 1:26-cv-12962-RGS (D. Mass.), memorandum and order (Oct. 29, 2026)