2025 Medicaid Changes Ahead: What to Know

Major Medicaid changes start in 2027 and will vary by state.

What could change:

• More frequent renewals/re-verification for some adults (those not qualifying due to disability).
• Added paperwork and slower response times at Medicaid  offices.
• A federal Medicaid spend reduction of ~$1T,  which may push states to tighten eligibility, lower provider payments,      or cut optional services like HCBS.

What remains:

• People with disabilities are exempt from work  requirements.
• Policies will roll out state-by-state—details will differ.

What to do now:

1. Plug in with local stakeholders/state Medicaid to track your state’s plan.
2. Share your story—especially if your family relies on HCBS—so policymakers see the real impact.