Federal Changes to Medicaid and Impact on MassHealth
Liv Anna Homstead • January 7, 2026

Learn more about the federal changes to Medicaid and what this means for MassHealth members. 

In July 2025, President Trump signed the One Big Beautiful Bill Act (OB3) into law. This law includes several major changes to Medicaid across the country. MassHealth, Massachusetts’ combined Medicaid and Children’s Health Insurance Program (CHIP) program, is legally required to carry out these changes. It is estimated that hundreds of thousands of MA residents could lose their MassHealth coverage due to these changes.


The changes will not happen right away and will not affect all MassHealth members. The first federal change will impact some immigrant members beginning Fall 2026. Other important changes include more frequent renewals and work requirements.


On January 8th 2026, Governor Healy announced that the state will increase investment in the ConnectorCare program by $250 million to limit the impact of these increases on middle class Massachusetts families. Learn more about this support from the state.


Learn more about all of these changes on the MassHealth website.  MassHealth is closely monitoring federal actions and providing updated information for members. Information includes, but is not limited to:


Need help with health insurance enrollment or redetermination? Call the Health Care for All Helpline at 800-272-4232. HelpLine Counselors are trained in English, Spanish, Portuguese, Haitian Creole and French.


Not sure what benefits you are eligible for? Use the Uno e-check on 413Cares to find out what benefits you qualify for, such as MassHealth, SNAP, WIC, TANF, and utility assistance.


SHARE


By Liv Anna Homstead May 18, 2026
An Easy Way to Find What Benefits You Are Eligible For
By Liv Anna Homstead April 17, 2026
More Use Means More Connection to Services
By Liv Anna Homstead December 8, 2025
What you need to know about the ABAWD work rules
Show More

Sign up for our

monthly newsletters