What to Know About MassHealth and ConnectorCare Changes
Liv Anna Homstead • August 3, 2026

What to Know, What to Do, and Where to Seek Help

The Trump Administration’s changes to Medicaid and subsidized insurance are expected to impact over 200,000 people in MA who have MassHealth (Medicaid) or ConnectorCare (subsidized insurance). These changes will restrict eligibility and add work and renewal requirements.

MassHealth

There are many changes that will be impacting certain MassHealth members over the next several months. The biggest changes include:

  • October 2026: Eligibility will be restricted or eliminated for certain lawfully present immigrants
  • January 2027: New work and education requirements and more frequent renewals for some members


MassHealth will reach out to members directly if you are affected.  


Eligibility:

Eligibility will be restricted or eliminated for certain immigrants. Learn about changes impacting noncitizens.

MassHealth will be eliminated for:

  • Refugees
  • Granted parole for at least 1 year
  • Granted asylum or related relief
  • From Iraq and Afghanistan on special immigrant visas
  • Certain abused spouses and children, and victims of trafficking
  • Native American tribal members born in Canada

MassHealth will be restricted for:

  • Lawfully permanent residents - after 5 years
  • Cuban & Haitian entrants
  • Compact of Free Assn. (COFA) migrants lawfully in the U.S.
  • Lawfully residing children & pregnant people

New Work and Education Requirements:

The new work and education requirements will require 80 hours per month of work, enrollment in an educational program at least half-time, or some other “qualifying” activities. MassHealth will contact members who will be impacted. The new federal work and education requirements will mostly impact adults who are 19 through 64 years old and do not have young children, a disability, or a medical condition that significantly impairs your ability to work.


More Frequent Renewals:

The federal government will require some MassHealth members to renew their coverage every six months instead of every 12 months. These changes will mostly impact low-income adults ages 19 through 64 years old. Exemptions apply for people who are pregnant, living with a blindness or disability based on Social Security rules, or certain Native Americans or Alaska Natives. MassHealth will contact members who are affected.


What You Can Do:

Informational Materials:

Find flyers and other information materials in multiple languages on MassHealth.

ConnectorCare

Eligibility Restrictions:

In January 2026, eligibility for ConnectorCare was restricted or eliminated for certain lawfully present immigrants.

ConnectorCare eliminated for:

  • Refugees
  • Individuals granted asylum, Individuals with Temporary Protected Status
  • All other types of lawfully present non-citizens

ConnectorCare restricted for:

  • Lawfully permanent residents (green card holders)
  • Cuban and Haitian entrants
  • Compact of Free Association (COFA) migrants lawfully residing in the US

Residents who are no longer eligible for ConnectorCare Plan Type 1 may qualify for MassHealth Limited and the Health Safety Net.


Shortened Enrollment:

Starting Fall 2026, the Open Enrollment period for Health Connector is being shortened. The Open Enrollment period will be October 23 through December 23, 2026.


What You Can Do:


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