What medical conditions typically qualify someone for a SNAP disability exemption?

Checked on February 1, 2026
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Executive summary

SNAP does not maintain a fixed list of diagnoses that automatically qualify someone for a “disability exemption”; instead, federal and state rules generally exempt people who are physically or mentally unable to meet SNAP work rules — in practice any condition, temporary or permanent, that prevents working about 20 hours per week or makes one “unfit for employment” can qualify for an exemption when documented [1] [2]. States implement and verify these exemptions with medical forms and local interpretations, producing variation in which conditions are accepted and how burdensome documentation is [3] [4].

1. What the program means by “disability” or being “unfit for employment”

Federal SNAP guidance and advocacy analysis make clear the program’s threshold is functional — whether a person is “physically or mentally unfit for employment” — not a fixed diagnostic list, so the determining question is capacity to work or to meet ABAWD time‑limit participation hours rather than meeting Social Security’s disability standard [2] [5]. Local offices therefore commonly accept temporary illnesses, chronic conditions, mental‑health problems, and injuries if a medical provider documents that those conditions reduce the individual’s ability to work [1] [6].

2. Typical categories of medical conditions that states accept

Across federal materials and state forms, examples that commonly lead to exemptions include chronic physical illnesses and injuries that limit functioning, serious temporary illnesses or postoperative recovery, mental‑health diagnoses that impair work capacity, pregnancy in some contexts, and participation in substance‑use treatment when it prevents meeting program hours [6] [7] [2]. Veterans with 100% disability ratings or those receiving certain VA benefits are singled out in some state rules as qualifying for personal disability exemptions [8] [9].

3. Practical rule: work capacity, not diagnosis

Many state guidance documents and local medical‑exemption forms emphasize that the condition “may be either temporary or permanent” and that the central determination is whether the condition prevents working roughly 20 hours weekly or meeting 80 hours monthly participation targets for ABAWDs (able‑bodied adults without dependents) [3] [1]. Newer federal time‑limit enforcement has made proving that functional impairment central to preserving benefits [10].

4. Documentation and medical evidence: forms and sources

States require medical statements completed by qualified providers or use specific verification forms (for example, ABAWD Medical Statement or state medical exemption forms) that ask whether the patient is unable to meet work hours; acceptable verifiers can include a wide list of medical professionals and sometimes school officials for students [7] [3] [4]. Agencies may also accept existing benefit documentation (SSI/SSDI, VA ratings, worker’s comp) as verification for exemptions [8] [11].

5. Financial rules tied to disability status

Separate from work‑rule exemptions, SNAP has special financial rules for elderly or disabled members: households with elderly or disabled members may use unreimbursed medical expenses above $35 per month to reduce countable income, and different resource limits apply to households with disabled members — a practical route through which medical conditions affect eligibility and benefit levels [9] [5] [11].

6. Where disputes and bias show up

Advocacy groups and researchers warn that the discretionary, functional standard opens voters to gatekeeping, implicit bias, and inconsistent caseworker judgments; people may be deemed “not disabled enough” even if clinically impaired, and administrative burdens or delays in disability determinations can cost people benefits [2] [10]. State help guides and legal clinics therefore push applicants to secure medical statements proactively to prevent time‑limit losses [12] [13].

7. Bottom line for applicants and clinicians

What typically qualifies is any physical or mental health condition — temporary or permanent — documented to reduce the person’s ability to work the program’s required hours; there is no specific closed diagnostic list at the federal level, and states implement verification through medical forms, existing benefit documentation, or provider letters [1] [3] [6]. Because implementation varies and caseworker discretion matters, applicants are advised to use the explicit medical/exemption forms their state provides and to document functional limits, not just diagnoses [7] [4].

Want to dive deeper?
How do individual states differ in the medical documentation they require for SNAP work‑rule exemptions?
How does SNAP’s excess medical expense deduction work and which out‑of‑pocket costs can reduce countable income?
What legal remedies exist when a SNAP applicant is denied a medical exemption they believe is warranted?