H.R. 1 · §10102 and §71119

SNAP and Medicaid work requirements, side by side

The Supplemental Nutrition Assistance Program (SNAP) requirement and the Medicaid community engagement requirement are two separate provisions of the same law, with different clocks, different populations, and different exemption lists. They connect in exactly one place. Cells are drawn from the enrolled statutory text and, where the statute delegates, from the implementing regulations — each one cited. Where a provision is genuinely silent, this page says so rather than filling the gap by inference.

The SNAP regulations have not caught up to the statute. 7 CFR 273.24(c) still lists exceptions H.R. 1 changed — it reads “under 18 or 55 years of age or older” and still carries the veteran and homeless exceptions the Act removed. Where the published regulation and the statute conflict, the statute governs. Regulation cites below are used for what §10102 left untouched, chiefly how hours are counted and verified.

In force

SNAP2025-11-01Effective on enactment. Already operating.1
Medicaid2027-01-01First quarter beginning after 2026-12-31. A state may elect to start earlier.6

Who it reaches

SNAP

Able-bodied adults without dependents, ages 18 to 64.1

H.R. 1 widened the band from 18–54 and removed the veteran, homeless, and former-foster-youth exemptions.1 statute governs

Medicaid

Affordable Care Act (ACA)-expansion adults only, ages 19 to 64 §1902(xx)(9)(A)(i).6

Traditional Medicaid is untouched: children, pregnancy, aged, blind, disabled, and Medicare dual-eligibles fall outside the provision entirely.

The hour requirement

SNAP20 hrs / week

Unchanged. §10102 does not rewrite SNAP’s activity list or hour rules — those remain in pre-existing 7 U.S.C. 2015(o)(1)–(2).8 This section touches only exceptions, waiver triggers, and noncontiguous handling.

Medicaid80 hrs / month

Newly written at §1902(xx)(2)6, with a broader menu than SNAP’s and the flexibility below.

What counts

SNAP
  • Paid work
  • Work program
  • Workfare

Defined at 273.24(a)(1)2.

Medicaid
  • Paid work, 80 hrs
  • Community service at a public or nonprofit organization, 80 hrs
  • Work program, 80 hrs
  • Educational program at half-time — no hour count required7

Can activities be combined to reach the threshold?

SNAP

Yes — in the regulation rather than in §10102.

7 CFR 273.24(a)(1)(iii) allows any combination of work and work-program participation totalling 20 hours.2

And (a)(2) defines working itself as three things that also combine, per (a)(2)(iv): work for money, work for goods or services (“in kind”), and unpaid work, verified under standards established by the State agency.2

Volunteer hours already count here, and Hawaiʻi Department of Human Services (DHS) sets what proof looks like.

Medicaid

Yes, expressly. §1902(xx)(2)(E) permits any combination of the four totalling 80 hours.6

Can earnings substitute for hours?

SNAP

Yes, but as an exemption rather than a way to count hours.

$217.50 / week

Federal minimum wage × 30 hours. A person employed or self-employed at 30+ hours a week, or earning that much regardless of hours, is exempt from SNAP work requirements 7 CFR 273.7(b)(1)(vii).3

That exemption reaches the time limit too: 273.24(c)(5) excepts anyone otherwise exempt under 273.7(b).2

Do not set this against Medicaid’s $580 as if they were the same test: this one is a weekly wage test on the individual, and it removes the requirement instead of satisfying it. The regulation states the SNAP figure weekly and gives no monthly equivalent — converting it invites exactly that false comparison.

Medicaid

Yes. Monthly income of at least federal minimum wage × 80 hours.

$580 / month

A different kind of test from SNAP’s. It is measured on the individual’s MAGI-based household income under §435.603 — not on wages alone; CMS considered counting only earned income and declined §435.552(f).9 And it satisfies the requirement rather than removing it.

Seasonal workers may instead use the average over the preceding six months, which likewise demonstrates compliance for a month §1902(xx)(2)(F)–(G), §435.552(g).69

Who is exempt

SNAP
  • Under 18, or over 65 — a person who is exactly 65 is still subject
  • Medically certified unfit for employment
  • Parent or household member responsible for a dependent child under 14
  • Otherwise exempt under subsection (d)(2)
  • Pregnant
  • Indian or Urban Indian; California Indian

§6(o)(3) — seven subparagraphs, as amended (Indian/Urban Indian and California Indian are separate subparagraphs, listed together above).1 statute governs

Medicaid
  • (no age exemption — the requirement reaches only 19 to 64)
  • Medically frail — blind or disabled, substance use disorder, disabling mental disorder, physical/intellectual/developmental disability, or a serious or complex medical condition
  • Parent, guardian, caretaker relative, or family caregiver of a child 13 and under or of a disabled person
  • Complying with Temporary Assistance for Needy Families (TANF) requirements, or in a SNAP household and not exempt from SNAP’s requirement
  • Pregnant or postpartum
  • Indian, Urban Indian, California Indian, or otherwise Indian Health Service (IHS)-eligible

Medicaid only

  • Veteran with a total disability rating
  • In addiction treatment or rehabilitation
  • Inmate of a public institution

§1902(xx)(9)(A)(ii) — substantially broader.6

How compliance gets verified

SNAP

Data the State already holds, first. Where an exception is questionable the agency must try its own records and other public-assistance data sharing before asking the person for documents 7 CFR 273.24(l)2 — the same instinct as Medicaid’s ex parte rule.

Hours are verified under 273.2(f)(1) and (f)(8) 273.24(a)(6).4 A drop below 20 hours is a reportable change 273.12(a)(1)(viii).5

For unpaid work the regulation names no format: it is verified “under standards established by the State agency” 273.24(a)(2)(iii).2 Like Medicaid, the question of what a volunteer-hour record must look like is decided below the statute — here by the State, not HHS.

Medicaid

Ex parte first. The state must use data it already holds — payroll, claims, encounter data — before asking the person for anything §1902(xx)(5).6

The statute names no acceptable document formats. That is delegated to United States Department of Health and Human Services (HHS) by rule, which is where nonprofit volunteer-hour records get decided.7

What happens on noncompliance

SNAP

Three months of benefits within a 36-month window, then the time limit applies.

The current window closes 2026-09-30; the next begins 2026-10-01.

There is a way back. Someone denied eligibility “shall regain eligibility … if, during a 30-day period, the individual works 80 or more hours” or completes 80 hours in a work program.8 The 36 months is the window the three-month limit is measured across, not a bar on reapplying.2 Told as a lockout, it persuades people not to try.

Medicaid

Written notice, then a 30-day cure period. Coverage continues during the cure. Disenrollment no earlier than the end of the following month, with fair-hearing rights §1902(xx)(6).6

Relief available to Hawaiʻi

SNAP

Two geographic paths.

A waiver the State may request where unemployment is at or above 1.5× the national rate §6(o)(4)(A)(ii). The Secretary may grant it on the request of the State agency; nothing triggers automatically.

Plus a noncontiguous-state good-faith exemption on petition to United States Department of Agriculture (USDA) §6(o)(7). Hawaiʻi and Alaska qualify; Guam and the USVI are excluded. Sunsets 2028-12-31, non-renewable.1

Medicaid

No geographic path. Hawaiʻi is on the same 2027-01-01 clock as every other state.

But the good-faith implementation exemption at §1902(xx)(11) is open to any state, Hawaiʻi included. It also sunsets 2028-12-31.6

The requirement itself cannot be waived under §1115 — only the timing §1902(xx)(10).6

The one place the two programs touch

SNAP compliance excuses you from Medicaid. Not the reverse.

A person is excluded from the Medicaid community-engagement requirement if they are:

“a member of a household that receives supplemental nutrition assistance program benefits under the Food and Nutrition Act of 2008 and is not exempt from a work requirement under such Act”— §1902(xx)(9)(A)(ii)(VI)(bb)6

Congress avoided double jeopardy: a household on SNAP and subject to SNAP’s work requirement does not separately carry Medicaid’s. There is no mirror provision running the other way.

Operationally, dual-enrolled people are working one requirement rather than two. The households carrying a live requirement with no health-plan infrastructure behind them are the SNAP-only group, and they sit outside the Hawaiʻi Med-QUEST Division (Med-QUEST)-plan architecture entirely.

References

  1. 1.
    Public Law 119-21 (H.R. 1), §10102 (SNAP) and §71119 (Medicaid), enrolled text govinfo.govin library
  2. 2.
    7 C.F.R. §273.24 — Time limit for able-bodied adults ecfr.govin libraryNot yet updated for H.R. 1. H.R. 1 §10102 rewrote the exception list — it excepts only “under 18, or over 65,” so the upper bound is 65 — and removed the veteran, homeless and former-foster-youth exceptions. Paragraph (c) as published still shows the old rule.
  3. 3.
    7 C.F.R. §273.7 — Work provisions ecfr.govin library
  4. 4.
    7 C.F.R. §273.2(f) — Verification ecfr.govin library
  5. 5.
    7 C.F.R. §273.12 — Reporting changes ecfr.govin library
  6. 6.
    Social Security Act §1902(xx), added by H.R. 1 §71119 govinfo.govin library
  7. 7.
    CMS-2454-IFC — Medicaid Program; Community Engagement Requirement for Certain Individuals. Centers for Medicare & Medicaid Services (CMS) interim final rule with comment period (IFC), 91 FR 33348 (2026-06-03) federalregister.govin librarySections 435.557 and 435.558 of this rule were replaced by a correction on 2026-06-29 — see the correction entry.
  8. 8.
    7 U.S.C. §2015(o) — SNAP work requirement for able-bodied adults uscode.house.govin libraryThe statute §10102 amends. The prelim edition may not yet show the H.R. 1 amendments.
  9. 9.
    42 C.F.R. §435.552 — Demonstrating community engagement: definitions, enrollment status, credit-hour conversion, monthly income ecfr.govAdded by the CMS interim final rule. Paragraph (b) defines community service, work, educational program and work program; (c) leaves half-time status to the school; (f) and (g) set the income routes on MAGI-based household income under §435.603.