For INDIVIDUALS
Beginning January 1, 2027, new federal rules will require many able-bodied adults enrolled in Medicaid to work, volunteer, or participate in education or training programs for at least 80 hours per month (about 20 hours per week) to maintain coverage.
These national “community engagement” requirements, established under H.R. 1, will affect millions of working-age adults (ages 19–64). Enrollees must regularly demonstrate compliance or show proof of exemption — for example, pregnancy, disability, or caregiving for a child under 14.
States must verify compliance at least twice a year — and in some cases more frequently. Experts estimate that nearly five million people could lose coverage over the next decade, largely due to missed paperwork and reporting challenges rather than an inability to work.
Hudson Valley Care Coalition (HVCC) and its Social Care Network (SCN) are helping members prepare early by connecting you to trusted local organizations that offer job training, volunteer opportunities, and guidance on keeping your documentation up to date.
Preparing early helps you stay covered and opens doors to:
Many enrollees already work or volunteer enough to meet the 80-hour standard, but early planning helps you avoid losing coverage due to missed documentation or unclear reporting rules.
Each county’s One-Stop Career Center provides free job counseling, resume help, and local training connections.
These partners provide employment, job-readiness, or vocational programs across the Hudson Valley.
Orange, Ulster
Supported employment, vocational rehab, workforce integration for adults with disabilities or behavioral health needs.
Orange, Sullivan
Job coaching, peer advocacy, workforce readiness for individuals with disabilities.
Dutchess, Orange, Ulster
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Rockland
Employment and career services integrated with behavioral health care.
Dutchess, Orange, Ulster
Vocational skill-building and community-based employment opportunities.
Regional
Economic mobility, job-readiness workshops, financial literacy training.
Dutchess
Workforce and financial counseling programs supporting housing and employment stability.
Regional
Employment assistance, vocational training, and job-readiness within case management.
Dutchess, Ulster
Employment-readiness and career coaching for youth and families.
Westchester
Workforce development, ESL, digital literacy, and job training for immigrants and low-income residents.
Westchester
Job training, paid internships, and career-pathway programs for youth and adults.
Sullivan, Orange, Dutchess
Supported employment and job placement for individuals with developmental disabilities.
Volunteering can also fulfill Medicaid’s 80-hour monthly requirement while giving back to your community. These organizations offer structured volunteer placements and can verify participation hours:
Westchester, Rockland, Putnam
Region-wide volunteer-matching platform connecting residents to hundreds of local nonprofits, schools, and community projects.
Dutchess, Orange
Volunteer placement, job-readiness workshops, and community engagement opportunities.
Regional
Volunteer roles in food pantries, mentoring, and community outreach programs.
All Counties
Literacy tutoring, resume workshops, and volunteer internships linked to job readiness.
Because states must verify participation at least twice yearly, it’s critical to stay organized and responsive.
Many people who already qualify risk losing coverage simply by missing deadlines or misunderstanding reporting requirements. New York State Medicaid Office or your local Department of Social Services can guide you step-by-step to ensure your eligibility and paperwork remain current.
