The "One Big Beautiful Bill Act" (H.R. 1) requires the 41 states plus the District of Columbia that have adopted the Affordable Care Act's (ACA) Medicaid expansion to modify systems and processes to verify Community Engagement. Non-exempt adults in the expanded population must have proof of meeting the 80 hours requirements that may include hours from work, education, community service or a combination of these.

This checklist focuses on the core challenge: How to quickly and accurately verify the 80-hour threshold using automated data, minimizing administrative lift for caseworkers, and reducing costly beneficiary churn.