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Medicaid Work Requiremnts

Tracking Medicaid Work Requirements: Data and Policies

To implement Medicaid work requirements, states will need to make important policy and operational decisions, implement needed system upgrades or changes, develop new outreach and education strategies, and hire and train staff, all within a relatively short timeframe. KFF is tracking key data and policy information related to Medicaid work requirements and how states are approaching implementation.

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Medicaid Financing

Medicaid represents $1 out of every $5 spent on health care in the U.S. and is the major source of financing for states to provide health coverage and long-term care. This brief examines key questions about Medicaid financing and how it works.

Medicaid Program Integrity

This brief explains what is known about improper payments and fraud and abuse in Medicaid and describes ongoing state and federal actions to address program integrity.

Medicaid and Provider Taxes

All states except Alaska cover some state Medicaid costs with taxes on health care providers. This brief uses data from KFF’s 2024-2025 survey of Medicaid directors to describe current practices and the federal rules governing them.

Medicaid and Hospitals

Absorbing reductions in Medicaid spending could be challenging for hospitals, particularly for those that are financially vulnerable. This brief provides data on the reach of Medicaid across hospitals, patients, and charity care.

Medicaid Home Care

This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services”) is, who is covered, and what services were available in 2025.

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  • The Olmstead Decision: Implications for Medicaid

    Issue Brief

    In June, 1999, the Supreme Court rule in Olmstead v L.C. that states were required to provide services to persons with disabilities in community settings rather than institutions, if certain conditions were met. This Policy Brief provides an overview of the Olmstead case, including the facts, the court ruling, and the disposition of the case. In addition, the brief describes the issues surrounding implementation and the implications this ruling could have for state Medicaid programs.…

  • New Report Looks at Health Care Trends in California Compared to Rest of Nation

    Report

    A new chartbook by the Kaiser Family Foundation shows that on most, though not all indicators, California's health care system fares poorly when compared to the U.S. as a whole. The report, Health Care Trends and Indicators in California and the United States, shows that many more Californians have no health insurance than in the rest of the U.S., but when they do have insurance it tends to be more comprehensive and cost less than…

  • SCHIP Managed Care Contracting

    Report

    The fourth in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that states have been able to enter arrangements with plans for their S-CHIP population fairly easily. REPORT Download

  • Health Insurance for Unemployed Workers

    Event Date:
    Event

    Submitted testimony of Diane Rowland, executive director of the Commission, about health insurance options for unemployed workers. She was scheduled to testify to the U.S. Senate Committee on Health, Education, Labor, and Pensions, but the hearing was postponed.

  • Women and Medicare

    Fact Sheet

    Medicare is a critical source of health insurance coverage for virtually all older women in the U.S. and for many younger women who have permanent disabilities. Because women have longer life expectancies than men, more than half (57%) of the people covered by the program are women. In 1999, there were 21 million women on Medicare 19 million ages 65 and over and another 2 million women under age 65 with disabilities who received Social…

  • Analyses of Kaiser Permanente Services for Insured Children

    Report

    Analyses of the Child Health Plan and Other Kaiser Permanente Services for Publicly and Privately Insured Children, a new policy brief prepared for the Kaiser Family Foundation and the California HealthCare Foundation by the Institute for Health Policy Studies at U.C. San Francisco, summarizes the results and policy implications of four different analyses comparing the experiences of children enrolled through Kaiser Permanente in the Child Health Plan, Medi-Cal, Healthy Families, and commercial programs. The aggregate…

  • Medicaid: Purchasing Prescription Drugs

    Issue Brief

    Medicaid: Purchasing Prescription Drugs A policy brief explaining how Medicaid purchases outpatient drugs and outlining the policy tools available to states to limit the rate of growth in spending on prescription drugs. Policy Brief (28 pages)

  • Medicare Beneficiaries and Their Assets: Implications for Low-Income Programs

    Report

    This report, prepared by Marilyn Moon of The Urban Institute and Robert Friedland and Lee Shirey of Georgetown University's Center on an Aging Society, reviews the income and assets of the current Medicare population, provides an overview of asset tests used to determine eligibility for programs assisting low-income Medicare beneficiaries, and considers how alternative policy options would affect eligibility for these programs. The authors find that beneficiaries with low incomes tend to have minimal assets.…