New Hampshire Medicaid Program Introduces Work Requirement for Granite Advantage

New Hampshire is implementing changes to Medicaid eligibility and coverage through the One Big Beautiful Bill Act. Starting in January 2027, adults enrolling in or renewing Granite Advantage must meet a work requirement to remain eligible. This requirement mandates working 80 hours per month or participating in approved activities such as job training or volunteering.

The changes predominantly impact new and recent enrollees in the state’s Granite Advantage program. The implementation of a mandatory work requirement alters the operational parameters of the state's Medicaid expansion program. This shift necessitates changes in federal compliance and oversight for related organizations.