**For Reference: When we talk about federal changes, we are talking about changes brought about by a budget bill that passed in July 2025, sometimes referred to as the “One big beautiful bill,” or HR1.
Federal Changes = One big beautiful bill = HR1
You may have heard that due to federal changes, some people using Medicaid (Mainecare here in Maine) may lose access to their health care coverage or their provider . Some of these changes impact Mainecare members directly, and some of them hurt the healthcare system on the whole and cost states more money.
You may be impacted by these changes as soon as January 2027. One of the first changes will restrict even more lawfully present immigrants from accessing Medicaid.
Some Mainecare members who do not fit into an exemption, will need to report 80 work or volunteer hours per month to DHHS to keep their health care coverage .
This will not apply to everyone. Read more about who will be exempt from work requirements on page 3. You may fit a category that will keep you from reporting requirements.
Learn more about the impacts on Mainecare here.
**Even if you think you may lose Mainecare coverage from HR1, you should continue to apply and complete your review.