Short answer: Not to Texas Medicaid as it stands. The federal 80-hours-per-month requirement starting January 1, 2027 applies to expansion adults ages 19 to 64, and Texas has no expansion group.
The 2025 federal law requires states to apply the rule to non-pregnant adults 19 to 64, not on Medicare, who are in the Medicaid adult (expansion) group or in a section 1115 demonstration that gives that population minimum essential coverage. CMS issued the implementing rule on June 1, 2026, and states must generally start by January 1, 2027. CMS says 43 states and the District of Columbia cover these populations. Texas did not expand, so its children, pregnant women, parents and caretakers, and aged, blind and disabled members are outside it.
Where it does apply, a person meets it with 80 hours per month of work, community service or a work program, half-time school, a combination, or income of at least 80 times the federal minimum wage ($580 per month in 2026). Exemptions include parents of a child 13 or under and pregnant or postpartum women.
If Texas ever expanded, the rule would follow. SNAP has its own, separate work rules.