On July 4, 2025, the President signed a bill into law that brings several changes to Medicaid, a federal health insurance program called Medical Assistance (MA) in Minnesota.

First, there are no changes for people who:

Get coverage based on a disability

• Are 65 or older
• Are 20 or younger
• Are pregnant

When will changes happen?

The first change starts in October 2026, and most happen in January 2027. The last change starts October 1, 2028.

What are the changes and who is affected?

We will explain each change, who is affected, and when it will start.

First change: Oct. 1, 2026

What will change: Eligibility for some immigrants.

Who is impacted: Only certain lawful permanent residents, Cuban and Haitian entrants, and Compact of Free Association (COFA) migrants will be eligible for Medical Assistance.

Next change: Jan. 1, 2027

What will change: Work requirements.

Who is impacted: People ages 21 to 64 who do not have dependent children, are not pregnant, and are not receiving Medical Assistance based on a disability.

Next change: Jan. 1, 2027

What will change: Renewals every six months instead of once a year.

Who is impacted: People ages 21 to 64 who do not have dependent children, are not pregnant, and are not receiving Medical Assistance based on a disability.

Next change: Jan. 1, 2027

What will change: Shorter periods of retroactive coverage.

Who is impacted: People who apply for Medical Assistance on or after Jan. 1, 2027.

Last change: Oct. 1, 2028

What will change: Cost sharing on some services.

Who is impacted: Some people ages 21 to 64 who do not have dependent children, are not pregnant, and are not receiving Medical Assistance based on disability.

Do you need to do anything?

For now, you do not need to do anything to keep your Medical Assistance.

Watch your mail for an envelope with a circle in blue when it's time to renew. Complete and return your renewal right away.

If you need to update your contact information, visit https://mn.gov/dhs/mycontactinfo/.

Where can you get more information?

Visit https://mn.gov/dhs/federalchanges/ for the most current information about how the new law will affect Minnesotans. DHS will add more details to the webpage as we get more information from the federal government.

Visit https://mn.gov/dhs/renewmycoverage/ for information about renewing your Medical Assistance.

Visit https://mnrenewallookup.com/ for details about your coverage.

For more information

For additional resources, please contact us:

Voice or preferred relay service: 651-431-5945 or 800-657-3663

Videophone: 651-964-1514

Email: dhs.dhhsd@state.mn.us

Web: https://mn.gov/deaf-hard-of-hearing/

We look forward to serving you!