

Six-Month Redetermination and Work Requirements: Impacts on Health Coverage in Massachusetts
In July 2025, Congress enacted H.R. 1, a major tax and domestic policy law that includes significant changes to federal Medicaid law.
This analysis estimates the health coverage impacts in Massachusetts of two key provisions: 6-month redeterminations and work reporting requirements.
The estimates described in this chart pack are generated from a model developed by the Urban Institute, which has been used for similar analyses released by the Foundation. This new analysis uses state-level 2024 cost and 2025 coverage data from MassHealth and the Health Connector.