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 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.