Federal Changes to NJ FamilyCare/Medicaid
The federal government has changed the rules around who is eligible for NJ FamilyCare starting Fall 2026. These rule changes are part of the “One Big Beautiful Bill Act” that was signed into law by President Trump in July 2025. These new rules do not apply to everyone. The following information explains which members may be affected and how they can prepare.
Beginning October 1, 2026
- Some non-citizen immigrants may no longer qualify for NJ FamilyCare.
Beginning January 1, 2027
- Certain adults aged 19 to 64 will have to work, volunteer, or go to school to keep their coverage or qualify for NJ FamilyCare. This is called “community engagement.” These members must also renew their coverage every 6 months (instead of every 12 months).
- Other adults aged 19 to 64 may be exempt from the requirement to work, volunteer, or go to school, but they may still have to renew their coverage every 6 months.
NJ FamilyCare will contact you by Fall 2026 with more information if these changes apply to you.
Members are encouraged to use the NJ FamilyCare Activity Requirements Checker, stay updated on federal changes, and make sure their contact information is current so they do not miss important notices.
- Use the NJ FamilyCare Activity Requirements Checker and find out in 10 minutes if you will need to meet these requirements.
- Please check Federal Changes to NJ FamilyCare/Medicaid | Division of Medical Assistance and Health Services often for updates on federal changes.
- Update your contact information so you do not miss important messages.
