OBBBA’s Impact on Young Adults and 5 Strategies to Support Them

Authors: Sheida Elmi and Bianca Lopez

Sheida Isabel Elmi

Associate Director, Insights and Evidence

Bianca Sofia Lopez

Senior Associate, Insights and Evidence

About this Report

The One Big Beautiful Bill Act (OBBBA) is set to create dramatic changes to the social safety net in the United States, particularly for programs like Medicaid and the Supplemental Nutrition Assistance Program (SNAP).

Through increased restrictions on eligibility, new or expanded work requirements, and critical impacts on state budgets stemming from new cost sharing requirements between federal and state governments, OBBBA will exacerbate barriers and burdens for public benefits recipients, especially families and young adults.

The effects occur at a particularly critical juncture for young adults ages 18-24, where financial strain and shortfalls have an outsized impact on future prospects for financial security and create long-term repercussions. Decreasing the availability of these financial supports places these young adults on a path that is costly for them, their families and communities, and the prosperity and social cohesion of our country.

To help illustrate the impacts of new OBBBA regulations, this report includes five personas showing how young people may struggle to navigate changes to SNAP and Medicaid. We also offer recommendations for multi-sector actions leaders can take to help young adults weather these changes. 


Key OBBBA Eligibility Changes for Adult Applicants and Enrollees

SNAP

  • Additional categories of people ages 18 to 64 will now be subject to the able-bodied adults without dependents (ABAWD) SNAP work requirements that require people to work, volunteer, or participate in qualifying training activities for 20 hours weekly. These will extend to former foster youth, veterans, people experiencing homelessness, parents or guardians of older children (14 and older), and older adults (ages 56 to 64).
  • States are no longer able to request an ABAWD time limit waiver based on the lack of sufficient jobs unless the unemployment rate is 10 percent or higher (with some exceptions).
  • Starting July 2025, OBBBA eliminated eligibility for people granted refugee, asylum, or other immigration status or who are survivors of domestic violence or human trafficking.
  • Ends the Standard Utility Allowance simplification for households receiving energy assistance, except for households with elderly and disabled members.

Source: Georgetown Center on Poverty and Inequality, 2025. Data from 2024 National Association of State Budget Officers State General Expenditure Data and 2024 US Department of Agriculture Food and Nutrition Service SNAP Data Tables.

Medicaid

  • A monthly requirement of 80 hours of work, community service, participation in a work program, at least half-time enrollment in an educational or training program, or engagement in any combination of the above for at least 80 hours for the expansion population. Individuals can also qualify for Medicaid if their monthly income (or six-month average for seasonal workers) equals or exceeds the equivalent of federal minimum wage multiplied by 80 hours. This applies to certain adults ages 19 to 64.
  • Applicants must demonstrate compliance with the work requirements for the 1-3 months prior to the month of application (depending on the state).
  • Six-month renewals instead of annual renewals.
  • Eliminates eligibility for people granted refugee, asylum, or other immigration status or who are survivors of domestic violence or human trafficking, starting October 2026.

Young Adults’ Medicaid and SNAP Access: Before and After OBBBA

To help illustrate how OBBBA changes may affect young adults’ ability to access and maintain SNAP and Medicaid, we have developed five illustrative personas (not representative of specific people) that demonstrate the ways young adults may be procedurally disenrolled, lose coverage despite meeting the new requirements, or struggle to quickly meet the new requirements. These personas also demonstrate how a young adult’s outcomes could vary depending on how the new legislation is implemented. 

Recommendations for
Multi-Sector Action

Together, state benefits administrators and case workers, young adult-serving institutions, community-based organizations, philanthropy, and civic tech organizations can take steps to counteract the legislation’s negative impacts on young adult participation in public benefits. The opportunities to mitigate benefits loss will require deep partnership and collaboration among stakeholders, as well as particular actions that stakeholders can take on their own.

01 Develop Messaging

Develop messaging about changes that resonates with young adults through user testing, ensure it is written in plain language in their primary language, and clearly detail any actions required to remain compliant. Ideally, work directly with young people to craft that language and to be clear and actionable. Create marketing materials that emphasize how young people will benefit from accessing these programs, such as including the potential benefit amount, how the benefits can be used, how benefits can help them achieve their goals, and how to get answers to any questions they may have.

Lead Stakeholders

State and county Health and Human Services (HHS) agencies

Supportive Stakeholders

Colleges, universities, and technical schools; community-based organizations; and civic technology (civic tech) organizations

02 Communicate Early

Communicate early and often with young adults about what they will need to do to comply through multi-channel outreach options: text, email, phone, or mail. This ensures notices reach them even if their phone numbers or addresses are inconsistent, change frequently, or vary throughout the year. Multiple notices can be especially helpful for those who may have a harder time to adjust to or comply with the changes. Social media can also be leveraged as a tool to increase program awareness, especially among young adults who are disconnected from community organizations, government, or educational institutions.

Lead Stakeholders

State and county HHS agencies

Supportive Stakeholders

Community-based organizations; and civic tech organizations

03 Develop Joint Communications

Develop joint communications across programs that young adults are likely to participate in, like Medicaid and SNAP, to ensure they understand the different steps each program will require to remain compliant. Include child- and youth-serving systems, such as child welfare and juvenile justice, who serve young people as they approach young adulthood. Where possible, inform people who have different eligibility rules between programs and explain those nuances.

Lead Stakeholders

State and county HHS agencies

01 Develop Navigation Options

Develop robust and widely available supportive navigation options within locations young adults already frequent since these institutions likely have their trust and young adults may not know where to seek out this information otherwise.

Lead Stakeholders

Colleges and universities, technical schools; community-based organizations; civic tech organizations

Supportive Stakeholders

State and county HHS agencies

02 Increase Connections

Increase connections with peer young adults or relatable adults with similar backgrounds and experiences to support improved benefits awareness and take-up such as student navigators, college resource centers, or navigation support at community-based organizations.

Lead Stakeholders

Colleges, universities, and technical schools; community-based organizations

03 Support Young Adults

Support young adults in getting vital documentation. Many young adults are missing documents that will now be required of them, including former foster youth and young adults without strong family ties. Any steps to reduce the cost or make it easier for them to obtain those documents will help.

Lead Stakeholders

Colleges, universities, and technical schools; community-based organizations; child welfare agencies; vital records agencies

Supportive Stakeholders

Philanthropy

04 Help Young Adults Demonstrate Exemption

Help young adults demonstrate exemption from or compliance with new work requirements by supporting their ability to find and document work, a volunteer position, or other qualifying activities to meet the required hours. Help them demonstrate if they are eligible for an exemption. Provide clear templates for how to document compliance and exemption so organizations and applicants who need to complete a manual verification can do so easily.

Lead Stakeholders

Colleges, universities, and technical schools; workforce development organizations; health care providers; community-based organizations

Supportive Stakeholders

Philanthropy; state and county HHS agencies

05 Ensure Student Resource Centers Are Ready

Ensure student resource centers are ready to help navigate students to needed resources and ideally to assist them with their applications. In the process, empower students to learn how to complete the applications correctly for future renewals. These offices and on-campus resources that have experience helping students navigate applications and work requirements can also coordinate with public benefit offices and other young adult-serving organizations that do not operate in a university setting to streamline the application process and share lessons and best practices.

Lead Stakeholders

Colleges, universities, and technical schools

Supportive Stakeholders

Community-based organizations; state and county HHS agencies

06 Engage Student Navigators

Consider engaging student navigators. Young adults are more likely to approach their peers with questions and with requests for help, especially if they do not feel as though they have caring adults in their life that they can turn to.

Lead Stakeholders

Colleges, universities, and technical schools

Supportive Stakeholders

Community-based organizations; civic tech organizations

01 Minimize Burden

Make administrative decisions during implementation that minimize burden and provide an array of options to meet requirements. For instance, states can choose shorter look-back periods for Medicaid work requirements and less frequent compliance verification, which could prevent young adults with volatile employment arrangements from churning off programs. States can identify an array of work activities that include training, work experiences, and volunteering that are responsive to the needs of young adults and help them meaningfully connect with workforce opportunities.

Lead Stakeholders

State HHS agencies

Supportive Stakeholders

Governors’ offices; state legislatures

02 Allow Self-attestation and Self-reporting

Broaden definitions and allow self-attestation and self-reporting where possible. Adopt policies that are less likely to add additional administrative burden for current enrollees, applicants, and case workers. For instance, for the ABAWD and student eligibility requirements, states can elect to provide multiple options for documenting “unfitness” that are feasible for young people, including documentation from service providers and participation in disability services. Adopt a more expansive definition of “medical frailty” that captures a wider population that may struggle to maintain consistent employment due to health challenges, including those with disabilities or intermittent health issues. Explore options for self-reporting to help people demonstrate eligibility or exemption.

Lead Stakeholders

State HHS agencies

Supportive Stakeholders

Governors’ offices, state legislatures

03 Allow Short-term Hardship Exemptions

Allow short-term hardship exemptions and when possible, request federal exemptions that apply—such as those related to high local unemployment rates, or emergencies and disasters—to reduce the burden on applicants and benefits administrators. Apply them automatically rather than requiring individuals to take action themselves.

Lead Stakeholders

State HHS agencies

Supportive Stakeholders

Governors’ offices, state legislatures

04 Align Definitions

Align definitions across Medicaid and SNAP (or other programs) to help people qualify across programs, whenever possible.

Lead Stakeholders

State HHS agencies

Supportive Stakeholders

Governors’ offices, state legislatures

01 Coordinate Cross-agency and Cross-program Data Sharing

Coordinate cross-agency and cross-program data sharing. When processing Medicaid applications, OBBBA requires that states try to use the data already available to them to verify individuals are in compliance or exempt in an automated manner at renewals before asking for additional information. To do this well, they will need data sources that demonstrate compliance or exemptions, such as information about disability status, medical information to determine if individuals are considered medically frail, veteran and former foster youth status, work requirement documentation, etc. States can also use other program data, like income verification from SNAP for Medicaid or checking for exemptions.

Lead Stakeholders

State HHS, labor, education, and IT agencies

Supportive Stakeholders

Civic tech organizations, state health information exchanges

02 Utilize External Data Source

Utilize external data sources to automatically verify compliance and exemptions, including across programs. Explore consent-based verification systems where possible, and start by integrating the data sources that will be most likely to help verify the most people, reducing the burden of additional paperwork submission and processing. This can be particularly helpful for foster youth, gig workers, or those with multiple jobs.

Lead Stakeholders

State HHS agencies

Supportive Stakeholders

Civic tech organizations

03 Automate Data Sharing and Verification

Automate data sharing and verification for students, and where possible, use student data to notify students of their potential eligibility. Share enrollment information and class hour data about students directly with states and counties (for county-administered states) to reduce the paperwork students have to obtain and share to demonstrate their status.

Lead Stakeholders

States and county HHS agencies; colleges, universities, and technical schools; nonprofit educational data organizations

Supportive Stakeholders

Civic tech organizations

01 Examine Benefit Agencies’ Processes and Systems

Examine benefit agencies’ processes and systems. While the budget pressures make IT system upgrades challenging, state and local governments may also find that improving their application forms or streamlining back-end processing and aligning across programs can keep people enrolled despite the pressures from OBBBA and support long-run cost savings.

Lead Stakeholders

State and county HHS agencies

Supportive Stakeholders

Civic tech organizations

02 Leverage AI-Enabled Tools

Leverage AI-enabled tools and other technology to automate application processes and provide applicants with timely feedback. Such tools could include 24/7 chat bots to answer questions, self-service portals that allow mobile upload options and review documentation for completeness, and interactive forms that can flag potential issues before submission. This may also reduce the administrative burden on staff by helping address some of the most common questions or issues with applications, reserving caseworker time for more complex cases.

Lead Stakeholders

State and county HHS agencies

Supportive Stakeholders

Civic tech organizations; philanthropy

03 Streamline and Create Common Applications

Explore streamlining or creating common applications across several benefits programs, ensuring that people are not being asked to answer duplicate questions.

Lead Stakeholders

State and county HHS agencies

Supportive Stakeholders

Civic tech organizations

04 Pre-populate Required Documentation

Automatically pre-populate required documentation for young adults to submit when automated data submission is unavailable. Test out submission workflows with real users to make sure instructions are clear, including for more complex scenarios, like part-time students or workers with multiple jobs or seasonal hours.

Lead Stakeholders

State and county HHS agencies

Supportive Stakeholders

Civic tech organizations

Acknowledgements

Sheida Elmi and Bianca Lopez authored this report. The Aspen Institute Financial Security Program (Aspen FSP) would like to thank Tim Shaw, Sarah Esty, Joanna Smith-Ramani, Steven Brown, Julia Rocchi, and MegAnne Liebsch for their assistance, comments, and insights. We are grateful to Amelia Coffey and Heather Hahn at the Urban Institute, Jennifer Wagner at the Center on Budget and Policy Priorities, Katie Savin at California State University, Sacramento, Kristen Dama and Lydia Gottesfeld at Community Legal Services of Philadelphia, and Jenny Pokempner at the Youth Law Center who shared their invaluable expertise with us in the development of this report.

This research was funded by the Annie E. Casey Foundation. We thank them for their support but acknowledge that the findings and conclusions presented in this report are those of Aspen FSP alone and do not necessarily reflect the opinions of the Foundation or other participants in the research process.