Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements: 1115-waivers
State-by-state information on Medicaid 1115 work requirement waivers.
View the Latest: Medicaid Work Requirements
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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 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 Data and Policies
FeatureDetailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements
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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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An Early Look at State Approaches to Implementing Medicaid Work Requirements
Event Date:EventKFF hosted a virtual briefing focused on states’ efforts to implement these new Medicaid work and community engagement requirements, which have created new administrative demands on states at a time of federal funding cuts, slowing revenue growth, and increasing spending demands.
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Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes
ReportThe 24th annual survey of state Medicaid and CHIP program officials conducted by KFF and the Georgetown University Center for Children and Families (CCF) provides a baseline of state Medicaid and CHIP eligibility, enrollment, and renewal policies in place as of January 2026 as they prepare to implement the changes included in the 2025 reconciliation law.
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Survey Offers Early Look at States’ Differing Approaches to Implementing Medicaid Work Requirements Amid Cost and Time Constraints and Uncertainty from Delayed Federal Guidance
News ReleaseA new KFF survey of state Medicaid officials and focus groups in eight states captures the different choices states are making about how to implement Medicaid work requirements, with seven states planning for a more restrictive approach to verifying work or exemption status or to implement work requirements early. These implementation plans are taking shape as states encounter time, cost, and other constraints as well as uncertainty about how to define and verify certain exemptions…
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An Early Look at Policy Decisions as States Get Ready to Implement Work Requirements
Issue BriefThis issue brief presents findings on policy decisions related to implementation of Medicaid work requirements. The findings draw on information from the annual survey of state Medicaid and CHIP program officials conducted by KFF and the Georgetown University Center for Children and Families for the 43 states (including DC) that will be required to implement work requirements and from focus groups with officials in eight states: Arizona, Indiana, Montana, Nebraska, Ohio, Pennsylvania, Virginia, and Washington.
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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.