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An Early Look at States’ Differing Approaches to Implementing Medicaid Work Requirements Amid Cost and Time Constraints and Uncertainty

A 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 due to delayed federal guidance.

Medicaid Work Requirements

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. The information tracked here can serve as a resource to understand Medicaid work requirements and state options, gauge readiness, and track implementation of the requirements.

understanding medicaid

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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  • Statewide Surveys of Californians on Public Attitudes Toward the Single Payer Ballot Initiatives (Proposition 186)

    Other Post

    California Election Night Survey On Ballot Initiatives Anti-government Mood Defeats Proposition 186 A Perception That Undocumented Persons Use Costly Services Drives Vote For Proposition 187 Embargoed for release: 12:00 p.m. EST, Tuesday, November 15, 1994 For more information contact: Matt James or Tina Hoff Menlo Park, CA -- A Kaiser/Harvard survey of Californians in the 1994 election has found that the principal reason voters rejected Proposition 186, the state single payer initiative, was their concern…

  • Private Long-Term Care Insurance:  Who Should Buy It and What Should They Buy?

    Report

    Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy? Despite the growing interest in private long-term care insurance (LTCI), there has been little independent examination of how much protection LTCI policies provide consumers or whether LTCI policies are a worthwhile purchase for people of average means. This report draws on data from the 1998 Survey of Consumer Finances (SCF) and the 1996 Medical Expenditures Panel Survey (MEPS) to explore the feasibility…

  • Medicaid Update: Expenditures and Beneficiaries in 1994

    Other Post

    Table 1Medicaid Beneficiaries by Group, 1988-1994 United States Beneficiaries (thousands) Average Annual Growth (%) Beneficiary Group 1988 1990 1992 1993 1994 1988-1994 1988-90 1990-92 1992-94 1988-94 All Beneficiaries 22,014 24,066 29,811 32,441 34,183 7.6 4.6 11.3 7.1 9.2 Cash Assistance 15,945 16,144 18,460 19,475 19,847 3.7 0.6 6.9 3.7 4.5 Other Beneficiaries 6,068 7,922 11,351 12,966 14,336 15.4 14.3 19.7 12.4 18.8 Elderly 3,130 3,167 3,547 3,680 3,828 3.4 0.6 5.8 3.9 4.1 Cash Assistance…

  • Immigrants’ Health Coverage and Access

    Report

    New and recent publications on immigrant health policy explore some of the complex problems the country faces in expanding health coverage to immigrants and provide basic statistics and facts on the current status of their health care. News Release: Recent Immigrants Have Had Little Impact on the Growth in America's Uninsured Population Issue Paper: Is Immigration Responsible for the Growth in the Number of the Uninsured? Fact Sheet: Immigrants' Health Care Coverage and Access Chart…

  • Parents’ Views of Children’s Health Insurance Programs: A Survey of Denied Applicants for Kaiser Permanente’s Child Health Plan

    Poll Finding

    In 1997, Kaiser Permanente launched the Child Health Plan to provide subsidized health insurance for low income California children not eligible for Medi-Cal (California's Medicaid program) or Healthy Families (California's State Children's Health Insurance Program). As part of a broader evaluation of the Child Health Plan funded jointly by the Kaiser Family Foundation and the California HealthCare Foundation, these reports provide findings from a survey of low income parents who were eligible for Medi-Cal or…

  • Prescription Drug Trends:  A Chartbook Update

    Report

    This November 2001 Chartbook updates data from last year's chartbook, including information about prescription drug coverage, expenditures and prices, utilization, drug promotion, and the pharmaceutical industry.

  • Acceleration of Medicaid Spending Reflects Mounting Pressures

    Report

    This issue paper reveals that after three years of relatively slow spending growth, Medicaid spending accelerated in 1999 and 2000, and more rapid growth appears likely to continue. Medicaid spending grew by 7.1 percent ind FY 1999 and 8.6 percent in FY 2000.