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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 CMCS Informational Bulletin DATE: December 8, 2025 FROM: Dan Brillman Deputy Administrator, CMS Director, Center for Medicaid and CHIP Services SUBJECT: Section 71119 of the “Working Families Tax Cut” Legislation, Public Law 119- 21: Requirements for States to Establish Medicaid Community Engagement Requirements for Certain Individuals I. Introduction On July 4, 2025, President Trump signed Public Law No. 119-21, which the Centers for Medicare & Medicaid Services (CMS) refers to as the “Working Families Tax Cut” (WFTC) legislation, into law. The WFTC legislation included changes to the Medicaid program to be implemented in the coming years, including the introduction of community engagement requirements for certain adults enrolled in Medicaid. Community engagement has potential to empower Medicaid beneficiaries through employment, education, or volunteer service so they can escape isolation and dependency, build confidence, and achieve self-sufficiency. II. Table of Contents CMCS Informational Bulletin......................................................................................................... 1 I. Introduction ...................................................................................................................... 1 II. Table of Contents ............................................................................................................. 1 III. Overview .......................................................................................................................... 2 IV. Applicable Individuals (section 1902(xx)(9)(A)(i)) of the Act) ...................................... 3 V. Community Engagement (section 1902(xx)(2) of the Act) ............................................. 4 Exclusions from and Exceptions to Community Engagement Requirements .......... 5 Exclusions (section 1902(xx)(9)(A)(ii) of the Act) ............................................ 5 Exceptions (section 1902(xx)(3) of the Act) ...................................................... 6 VI. Demonstrating and Verifying Community Engagement .................................................. 7 Demonstrating Community Engagement at Application (section 1902(xx)(1)(A) of the Act)....................................................................................................................... 7