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AHS: HR 1 will tighten eligibility, double renewal work and add 80‑hour monthly work rules for expansion enrollees
Summary
The Agency of Human Services told the House Appropriations Committee that HR 1 will change eligibility: it will exclude some noncitizens from Medicaid, shorten renewal intervals from 12 to 6 months for the expansion group, and impose an 80‑hour‑per‑month work or community‑engagement requirement that AHS estimates will create substantial verification and staffing demands.
Agency of Human Services officials told the House Appropriations Committee on Jan. 14 that HR 1 will change who qualifies for Medicaid, increase the frequency of eligibility renewals for expansion enrollees and add a new work/community‑engagement test that will require significant administrative work.
"A lot of the provisions that Ashley has described, hit on the Medicaid program either financially or in our capacity," said Addie Stromilo, deputy commissioner of the Department of Vermont Health Access (DVHA). Stromilo said the agency is focusing on three major eligibility provisions with near‑term implementation timelines.
First, Stromilo said HR 1 will block eligibility for certain categories of noncitizens — including some asylees and refugees — effective Oct. 1, 2026. "It's a little bit hard to predict the number of impacted members because ... we…
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