Stay informed.
Stay covered.
Stay healthy.
H.R. 1
(One Big Beautiful Bill Act, 2025)
Who may be affected by H.R. 1?
You may be
affected if:
- You are an adult aged 19-64 enrolled in Adult Expansion or Targeted Adult Medicaid (TAM).
- You are a Medicaid member without U.S. citizenship status.
- You received a letter from Utah Medicaid regarding eligibility changes.
- You have unverified Federal Indian or American Indian/Alaska Native status.
You are excluded from these
changes if:
- You have verified Federal Indian or American Indian/Alaska Native status.
What should
I do next?
Update your contact information, if
needed.Learn about the changes coming with
H.R.
1.Read any letters you get from Utah
Medicaid or DWS.Return forms and respond before
deadlines.Contact Utah Medicaid if you have
questions.Update my contact information
You can lose your Medicaid benefits if you don't return forms or miss deadlines. To make sure your information is up-to-date or to update it, call:
DHHS Health Program Representative (HPR):
1-866-608-9422
Department of Workforce Services:
1-866-435-7414 or
jobs.utah.gov/mycase
Important dates
H.R. 1 signed into law
July 4, 2025
H.R. 1 (One Big Beautiful Bill Act) is signed into law, laying the groundwork for sweeping changes to Medicaid eligibility, renewals, and funding structures.
First eligibility changes
October 2026
New Medicaid eligibility guidelines for specific non-citizen groups take effect.
3 key Medicaid enrollment and coverage updates
January 2027
Three major mandates go live:
- Community engagement (work) requirements: Able-bodied adults, ages 19-64, must complete and report 80 hours each month of work, school, or volunteering activities to keep covered.
- 6-month eligibility reviews: Adults enrolled in Adult Expansion Medicaid and Targeted Adult Medicaid (TAM) must now prove they still qualify every 6 months, instead of every 12 months.
- Retroactive coverage shortened: The look-back window changes how far back an individual may be covered by Medicaid before their application date from 3 months down to 1 or 2 months, depending on the program.
