Early Medicaid Work Requirement Insights From Nebraska
This brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements.
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Implementation of Medicaid Immigrant Eligibility Restrictions Under the 2025 Reconciliation Law: Issues to Consider
Issue BriefThe 2025 reconciliation law includes new eligibility restrictions for many lawfully present immigrants for Medicaid and CHIP that become effective October 1, 2026. This brief provides an overview of implementation of the immigrant eligibility changes based on CMS guidance and issues to consider for affected individuals and states.
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State Fiscal Conditions: Context on Medicaid Budgets for FY 2027
Issue BriefThis brief describes current fiscal conditions using the latest state revenue and spending data from the National Association of State Budget Officers (NASBO) and analyzes how these conditions may impact states’ Medicaid budget decisions going forward.
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Optional Medicaid and CHIP Coverage for Lawfully Present Immigrant Children Could Mitigate Coverage Losses Due to 2025 Reconciliation Law
Issue BriefThis brief provides an overview of health coverage of noncitizen children to provide greater insight into the potential role of Immigrant Children’s Health Improvement Act (ICHIA) coverage in limiting the 2025 reconciliation law's impact on coverage for lawfully present immigrant children.
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What Could Medicaid Work Requirements Mean for SSI Applicants?
Issue BriefMedicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion. KFF's policy analysis explains why SSI applicants are particularly at risk of going uninsured under the new Medicaid rules.
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Medicaid Work Requirements: Federal Outreach Requirements and State Plans
Issue BriefState Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, and social media posts. This brief describes the federal outreach requirements and state plans, as well as the complexities and tight implementation timelines states face.
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Medical Frailty and Medicaid Work Requirements: Challenges for People with HIV
Policy WatchThis analysis examines Medicaid work requirements and the implementation of medical frailty exclusions for people with HIV in light of CMS's implementing regulation.
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States Sue CMS Over Medicaid Work Requirements Rule, Citing Departure from Earlier Guidance on Medical Frailty
Quick InsightsLess than a month after CMS released its interim final rule on Medicaid work requirements, 24 states, including DC, sued the Trump administration over its interpretation of the 2025 reconciliation law’s requirements — including most notably the medical frailty exemption.
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Tennessee Plans to Share Data on Children with Disabilities with Immigration Authorities
Policy WatchThis policy watch discusses a recent Tennessee law that requires the sharing of data for applicants and/or enrollees for the state's public assistance programs who do not have a qualified immigration status with immigration authorities, including for those enrolled in the state's Children's Special Services program, which serves children with disabilities.
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The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule
Issue BriefThis brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.