Montgomery County officials warn new Medicaid rules, October cutoff for some asylum seekers could widen uninsured gap

Jul 1, 2026

County health officials told the council that federal HR1 rules — including 80-hour monthly work requirements and six‑month redeterminations — plus an October cutoff for most asylees and refugees could increase local uninsured numbers; staff outlined outreach, a forthcoming symposium and safety‑net implications.

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Montgomery County health officials told the County Council on June 30 that federal changes to Medicaid eligibility under HR1 will require recipients to document 80 hours of work per month and face eligibility redeterminations every six months, a shift county staff said will increase administrative workload and likely raise the number of uninsured residents.

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