For the first time, states will soon be required to make Medicaid eligibility for certain applicants and existing beneficiaries contingent on their participation in qualifying community engagement activities in accordance with Public Law 119-21, an Act to Provide for Reconciliation Pursuant to Title II of H. Con. Res. 14 (2025 Budget Reconciliation Act). This session introduced four principles for implementing community engagement requirements, which reflect findings from MACPAC’s stakeholder interviews and Commissioner discussions to date. The session also presented a policy option for monitoring and evaluating community engagement requirements, based on stakeholder and Commissioner interest. Commissioners discussed including the principles and policy option, in the form of a recommendation, in MACPAC’s June 2026 report to Congress.
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Medicaid and CHIP Payment and Access Commission