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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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 and Upcoming State Budget Debates
Issue BriefThis brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenges and the 2025 reconciliation law.
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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.
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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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Health Policy in 2026
From Drew AltmanIn a new column, President and CEO Dr. Drew Altman forecasts eight things to look for in health policy in 2026. “First and foremost,” he writes, “is the role health care affordability will play in the midterms.” And, he notes: “The average cost of a family policy for employers could approach $30,000 and cost sharing and deductibles will rise again after plateauing for several years.”
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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.