Oregon Medicaid work requirement
Oregon Health Authority (OHA) / Oregon Health Plan
If you are 19 to 64 and get Medicaid in Oregon through the adult expansion group, you may need to show 80 hours a month of work, school, job training, or community service, or enough income. Some people are exempt. Most states by January 2027; some sooner or later; check yours.
- Start date
- January 1, 2027
- Last checked
- September 2026
Who it applies to
Oregon Health Plan (OHP) expansion adults ages 19–64, including Healthier Oregon (§1115) members, who are not otherwise exempt. OHA sent informational notices to potentially affected members in October 2026. Members who qualify for OHP programs based on disability, pregnancy, or Medicare are not affected.
What counts toward 80 hours
- Monthly household income over $580
- Enrolled in higher education at least half-time
- Work 80+ hours/month
- Community service / volunteering 80+ hours/month
- Participation in a training program 80+ hours/month
- Any combination of work, volunteering, education, or training totaling 80+ hours/month
Who may be exempt
- Receiving OHP based on disability or pregnancy
- Have Medicare
- Main caretaker of a child under age 14, or of someone with a disabling health condition
- American Indian / Alaska Native (AI/AN) — also retains annual renewals
- Pregnant or within 1 year postpartum
- Released from incarceration in the last 3 months
- Meeting TANF work rules
- In a SNAP household subject to SNAP work requirements
- Chronic substance use disorder or currently in treatment
- Medically frail or with a serious medical condition
- Temporary exemptions for hospitalization, medical travel, or similar hardships
Caring for a child 13 or younger, or for a person with a disability, is usually an exemption. Caregiving hours are not counted toward the 80 hours.
How Oregon checks
OHA will check available records. Report your activities and address through Benefits.Oregon.gov or by calling 800-699-9075. If OHA needs documentation, it will send you a notice with a deadline.
What you can do now
- Visit oregon.gov/oha/HSD/OHP/Pages/Federal-Changes.aspx for the official OHP federal changes page
- Check OHP.Oregon.gov/HR1 for work-requirements specific guidance
- Keep your contact information current with OHA — update at Benefits.Oregon.gov or by calling 800-699-9075
- Start tracking income, work, volunteer, education, or training activity each month now
- AI/AN members: confirm annual renewal exemption status with OHA
- Report life changes (pregnancy, disability, household changes) promptly
Sources and links for Oregon
Sources: Oregon Health Authority OHA (oregon.gov/oha/HSD/OHP). CMS IFC CMS-2454-IFC. OHA member notices sent Oct 2026.
Last checked September 2026.
Log80 helps you keep organized proof.
Log your hours and make a monthly report you can share with your state Medicaid office. Free.
Log80 is not a government service and is not Medicaid. This page is not legal advice. Your state Medicaid office decides who must meet the rule and what proof it accepts.