Medicaid Work Requirements
With the introduction of H.R. 1, aka One Big Beautiful Bill (OBBB), Medicaid eligibility will require low income adults without disabilities to work, or participate in qualifying activities for 80 hours a month. Prime Health’s goal is to aid in keeping as many members covered as possible, and aid in the development of a work requirements tracking system.
What work is Prime Health doing around the Medicaid Work Requirements?
In collaboration with the Colorado Health Foundation, the Department of Health Care Policy and Financing, and other partners, Prime Health is working to help develop a system for tracking hours towards the Medicaid work requirements. Here’s what we’ve done so far:
September 2025: When Policy Moves Fast, We Build Responsibly— Responding to Medicaid Work Requirements with Purpose
October 2025: Insight to Impact: Reflections. Realignment. Readiness for 2026.
Key Things We Know
Work (Community Engagement) Requirements will become active in January 2027
To date, Innovation Challenges have convened hundreds of healthcare and technology leaders and experts to serve as Judges and Mentors.
Throughout the years, the Innovation Challenge has supported the development and implementation of more than 45 pilots across Colorado and California. Many of these pilots have transformed into sustainable partnerships.
Facilitated collaboration that led to the invention of numerous new models and solutions, including new ways to address healthcare for the homeless, suicide prevention, maternal health, and more.
Since 2018, 100% of all pilot programs have supported healthcare innovation for communities that have historically had less power or privilege, been underserved, marginalized, or are Medicaid, CHP+, and uninsured beneficiaries,
Who is the Colorado Health Foundation?
The Challenge in Colorado is funded by our partner, the Colorado Health Foundation. CHF is a statewide philanthropic organization that champions the overall health and well-being of every Coloradan by advocating for and investing in solutions and policies that drive health equity and racial justice.
They engage closely with communities across the state through investing, policy advocacy, learning and capacity building. CHF has four strategic focus areas, which are used to guide and create their 10 priorities. Both of these can be found in their Priorities. Additionally, they are committed to holding themselves accountable, and annually collects and publicly shares data that demonstrates their progress in centering race and ethnicity in their work.
CHF is dedicated to their ultimate goal of improving the health of Coloradans, and does everything with the intent of creating health equity
Learn More
While there are still many questions about what this will look like, we do have some resources to share.
Through a collaborative health innovation ecosystem, we can:
clarify common barriers, problems, needs, and shared priorities within the healthcare industry
identify companies and healthcare that are pursuing ways to solve those problems
validate solutions impactful to Colorado and California healthcare
accelerate the adoption of these solutions within safety-net health organizations
