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Join GIH in Commenting on Proposed Medicaid Work and Community Service Requirements

GIH News, Policy Statements
Posted July 17, 2026
CMS_logo
Morgan-Hynd

Grantmakers In Health (GIH) invites philanthropic organizations to sign on to a comment letter responding to a proposed Centers for Medicare and Medicaid Services (CMS) Interim Final Rule requiring adult Medicaid beneficiaries to work or perform community service for 80 hours per month or risk losing their Medicaid benefits.  

If implemented, the Interim Final Rule would create procedural barriers to coverage for eligible individuals and families, while imposing significant administrative burdens across the Medicaid ecosystem, including for beneficiaries, community-based organizations (CBOs), and health care providers. Many people who are otherwise eligible for Medicaid are expected to lose coverage inappropriately as a result of these new eligibility verification requirements. To learn more about the effects the Medicaid Community Engagement Interim Final Rule, click here for our summary.Given the expected impact on health care coverage in communities across the country, we encourage philanthropic organizations to add their voices to this response.  

Sign-on Letter Draft

Take Action

Please sign on to the comment letter by filling out the form below by the end of day on Thursday, July 30, 2026. Please contact Ann Rodgers with any questions or comments at arodgers@gih.org.

Add your organization to the Sign-on Letter
Comment-CMS-work-requirements-July-2026-draftDownload

If your organization submitted their own comment, please share a copy with Ann Rodgers so GIH can track the field’s response to this issue.

Focus Area(s): Access and Quality

Related Topic(s): Advocacy Strategies, Federal Policy
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