From the transcript

The next change that will take effect is 6-month renewals, and those will also take effect January 1st of this year. So currently Medicaid eligibility is reviewed every 12 months. For most, for all Medicaid enrollees. However, beginning January 1st, 2027, individuals in the Medicaid expansion population will have their renewal period shortened from 12 months to 6 months. Now, this does not impact everyone who is enrolled in Medicaid.