LeadingAge and various partner organizations on December 5, 2025 met with Center for Medicaid and CHIP Services (CMCS) staff on issues including the Medicaid Access Rule’s 80/20 requirement and HR 1’s community engagement requirement (aka work requirement).

On the Access Rule, LeadingAge continued to underscore the need to eliminate the 80/20 rule and associated reporting requirements. CMS said they will be able to discuss more about their intentions around the future of this requirement soon. Regarding community engagement, CMS posed a number of questions around the operationalization of the community engagement requirement exemptions and welcomed additional feedback in the coming weeks.

LeadingAge will continue engagement with CMS on both Medicaid deregulatory priorities and the implementation of HR 1.