relative to community engagement and work requirements under the state Medicaid program.

SB 506 directs New Hampshire's Department of Health and Human Services to implement federal work and community engagement requirements for Medicaid eligibility under the "One Big Beautiful Bill Act of 2025." It requires the state to submit a plan to CMS (Centers for Medicare & Medicaid Services) by December 2026, after legislative review, and mandates quarterly reports to lawmakers on implementation progress. The bill suspends existing state law provisions related to these requirements while federal rules are in effect, with automatic reinstatement if federal rules end. It does not provide new state funding or create positions, aligning state Medicaid operations with federal guidelines.