Grantmakers In Health (GIH) invites philanthropic organizations to sign on to a comment letter responding to a proposed Centers for Medicare and Medicaid Services (CMS) Interim Final Rule requiring adult Medicaid beneficiaries to work or perform community service for 80 hours per month or risk losing their Medicaid benefits.

If implemented, the Interim Final Rule would create procedural barriers to coverage for eligible individuals and families, while imposing significant administrative burdens across the Medicaid ecosystem, including for beneficiaries, community-based organizations (CBOs), and health care providers. Many people who are otherwise eligible for Medicaid are expected to lose coverage inappropriately as a result of these new eligibility verification requirements. To learn more about the effects of the Medicaid Community Engagement Interim Final Rule, click here for our summary. Given the expected impact on health care coverage in communities across the country, we encourage philanthropic organizations to add their voices to this response.

You can view GIH’s comment letter text here.

Please sign on to the comment letter by filling out the form below by the end of day on Thursday, July 30, 2026. Please contact Ann Rodgers with any questions or comments at arodgers@gih.org.

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* 1. Organization Name

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* 2. Your Name

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* 4. I am authorized to sign this letter on behalf of my organization.

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