Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Data and Policies
Detailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements
View the Latest: Medicaid Work Requirements
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Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
Issue BriefSection 1115 Medicaid waivers can allow states to test new approaches in Medicaid that differ from what is required by federal law. This page tracks approved and pending waiver provisions (including expansions and restrictions) related to eligibility, benefits, and social determinants of health and other delivery system reforms.
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Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Implementation Questions
Other PostA list of the implementation questions relating to the Medicaid work requirements in the 2025 Reconciliation law.
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Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements
FeatureKFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. The tracker includes state-level data on Medicaid enrollment and renewal outcomes as well as current state enrollment and renewal policies.
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Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements: Related Resources
FeatureKFF resources on the Medicaid work requirements in the 2025 Reconcilation law.
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Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements: 1115-waivers
Other PostState-by-state information on Medicaid 1115 work requirement waivers.
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Medicaid Workers and Job-Based Insurance: Who Is Offered, Eligible, and Enrolled?
Issue BriefMost adult Medicaid enrollees who will be subject to new work requirements are already working but rely on Medicaid because their employers do not offer health coverage or they are not eligible for the coverage offered at their job. This analysis examines the availability of job-based insurance in 2024 for adult Medicaid workers ages 19 to 64.
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A Look at the Intersection of SNAP and Medicaid as States Implement Medicaid Work Requirements
Issue BriefThis brief describes the intersection between Medicaid and SNAP and discusses how information from SNAP may be leveraged by states when implementing the new Medicaid work requirements.
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A Closer Look at Nebraska, the First State Planning to Implement a Medicaid Work Requirement
Policy WatchNebraska is the first state to announce it plans to begin enforcing Medicaid work requirements early, starting May 1, 2026. Initial reports from the state during its recent January Medicaid Advisory Committee (MAC) meeting and data from KFF’s Medicaid work requirements tracker provide early insights into how Nebraska is preparing for implementation.
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Medicaid: What to Watch in 2026
Issue BriefIn this brief on Medicaid issues to watch for 2026, KFF explores how state fiscal pressures are likely to converge with the implementation of the 2025 reconciliation law to affect Medicaid coverage, financing, and access to care over the next year, especially leading up to the midterm elections.