Shifting federal requirements for Medicaid enrollees passed by Congressional Republicans earlier this year could require the state health department to add 50 new staff positions to process applications and determine whether low-income residents are eligible for the public health care coverage program.

The new eligibility regulations contained in House Resolution 1, also known as the One Big Beautiful Bill Act, are expansive. An overview of the new regulations — including six-month eligibility reviews, 80 hours per month of work for enrollees, school or community service hours, exemptions for certain groups and co-payments for services — took one Department of Public Health and Human Services official nearly 15 minutes to outline during a Tuesday presentation to state lawmakers.

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