Medicaid

Work Requirements

Wonk Shop: How Will States Implement Medicaid Work Requirements?

Four experts, including two state Medicaid directors, joined Health Wonk Shop moderator Larry Levitt in an hour-long discussion of how states will go about implementing new Medicaid work requirements.

Most Adults Subject to Medicaid Work Requirements Are Working or Face Barriers to Work

Map shows Medicaid expansion enrollment in counties that meet the criteria for the high unemployment hardship exception to work requirements, using 12-month average unemployment rates from June 2024 to May 2025.

What is the Medicaid Hardship Exception and How Could it Affect Who’s Required to Work?

The number of Medicaid expansion enrollees who ultimately qualify for the high unemployment hardship exception will depend on how the exception is implemented and how unemployment rates changes.

A Closer Look at the Work Requirement Provisions in the 2025 Federal Budget Reconciliation Law

On July 4, President Trump signed into law a budget reconciliation package that includes significant changes to the Medicaid program. This issue brief provides an overview of the work requirement provisions.

Implementing Work Requirements on a National Scale: State Experiences

Eligibility and coverage

Eligibility, Enrollment, and Renewal Policies
KFF's survey findings capture state actions that seek to improve the accuracy and efficiency of Medicaid and CHIP enrollment and renewal processes, as of January 2025.
Seniors and People with Disabilities
More than 1 in 3 people with disabilities (15 million) have Medicaid (35%). In comparison, only 19% of people without disabilities have Medicaid.
Children with Special Needs
Amid debates about proposed cuts to federal Medicaid spending, this brief analyzes key characteristics of children with special health care needs and explores how Medicaid provides them with coverage.
People With Intellectual and Developmental Disabilities
Among the estimated 8 million people with intellectual and developmental disabilities (I/DD), over three million have Medicaid coverage.
Adults with Chronic Conditions
Among working age adults enrolled in Medicaid, approximately three quarters have one or more chronic conditions, and nearly one-third have three or more.

The Essentials

5 Facts: Immigrants and Medicaid
This brief provides five key facts on Medicaid and immigrants as context for understanding the potential impacts of policy changes under the Trump administration.
5 Facts: Medicaid and Hospitals
This brief explains the role of Medicaid for hospitals, including how much spending on hospital care comes from Medicaid, the share of births covered by the program, and how Medicaid expansion has impacted hospital finances.
Medicaid Financing: The Basics
Medicaid is a major source of financing for states to provide health coverage and long-term services and supports for low-income residents. This brief examines key questions about Medicaid financing and how it works.
5 Facts: Medicaid’s Share of National Health Spending
This brief explores how Medicaid spending contributes to national health spending and how different service areas contribute to Medicaid costs.
5 Facts: Medicaid and Nursing Facilities
The substantial Medicaid savings in the reconciliation bill could have major implications for nearly 15,000 federally certified nursing facilities and the 1.2 million people living in them.