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January 31.2026
3 Minutes Read

Congress Funding Deadline Looms: Key Updates for Seniors on HR 1 and Medicaid

Justice in Aging logo emphasizing Medicaid coverage changes for senior services.


Crunch Time: Congress Faces Funding Deadline

As January 30, 2026, looms, Congress is racing against time to finalize a Fiscal Year (FY) 2026 funding package, crucial for vital agencies such as the Department of Health and Human Services (HHS) and the Department of Housing and Urban Development (HUD). With funding set to expire, a partial government shutdown appears imminent unless a bipartisan agreement can be reached. Currently, the Senate has blocked the House-passed funding package due to contention over the Department of Homeland Security (DHS) spending allocations and recent actions by Immigration and Customs Enforcement (ICE).

However, hopes for a resolution are on the horizon, as Senate leaders have proposed to separate the DHS bill from the broader appropriations package. If successfully amended, the Senate's version will head back to the House for yet another vote. This legislative back-and-forth raises anxiety among many, particularly seniors who depend on these services.

What’s on the Agenda? HR 1 Implementation Updates

In parallel developments, significant strides are being made to implement HR 1, the 2025 budget reconciliation bill. The Centers for Medicare and Medicaid Services (CMS) has unveiled the inaugural disbursement of funding under the Rural Health Transformation Program (RHT). This funding aims to bolster health services in rural communities across every state. For 2026, each state is poised to receive a share, showcasing a commitment to enhance accessibility to health care for older adults.

The Kaiser Family Foundation (KFF) has also initiated a tracker to help monitor Medicaid work requirements—a sentiment echoed in discussions surrounding the upcoming webinar hosted by Justice in Aging on February 5. This session will cover strategies to alleviate potential harm from new Medicaid work requirements, illustrating the need for advocacy and education around these changes.

Critical Resources for Seniors

Justice in Aging continues to be a vital resource, offering numerous tools and insights. Recently, they alerted the community with valuable updates, including a fact sheet about upcoming Medicare deadlines and another detailing critical info for transgender older adults.

In their ongoing commitments to the community, Justice in Aging is readying a comprehensive toolkit designed to empower stakeholders in advocacy efforts concerning devastating attacks on disability rights.

The Larger Context: Medicaid Challenges Ahead

The backdrop of this governmental wrangling is a climate of uncertainty surrounding Medicaid. With Medicaid reform slated to intensify in 2026, policymakers and advocates face potential upheavals in access to care. Reports suggest that recent legislation could lead to an influx of individuals losing coverage—predominantly caused by new work requirements affecting a large section of Medicaid enrollees.

Recent analyses highlight that up to 7.5 million Americans could be uninsured by 2034 due to these changes, emphasizing a critical juncture for health policy going into the mid-2026 elections. Some states are already taking proactive steps; Nebraska, for instance, plans to implement federal work requirements earlier than mandated, commencing May 1, 2026.

The Road Ahead: What Seniors Should Watch For

As the legislative landscape shifts, seniors must stay informed on several critical issues:

  • How states manage Medicaid work requirements and their impact on enrollment.

  • The influence of federal legislation on state budgets and healthcare quality.

  • The broader implications for healthcare access as new laws are implemented.

An awareness of these factors will help older adults navigate the uncertain waters ahead, ensuring they are well-prepared to advocate for their rights and needs amid legislative changes.

Your Voice Matters: Take Action!

To stay informed and to contribute to the discussion around protecting the rights of seniors, consider participating in the upcoming webinar and exploring the myriad resources offered by Justice in Aging. Being proactive is crucial to safeguarding access to essential services.


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