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Medicaid work requirements

Nebraska Renewal Outcomes Among Individuals Subject to Medicaid Work Requirements

Early Medicaid Work Requirement Insights From Nebraska

This brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements. Among Medicaid enrollees renewing coverage under Nebraska's work requirements, 93% met the requirements or qualified for an exemption —while 7% lost coverage.

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

KFF’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. The Congressional Budget Office estimates that the 2025 reconciliation law will increase the number of people who are uninsured in 2034 by 10 million. Coverage losses from Medicaid work requirements account for over half, or 5.3 million, of the increase in the number of uninsured.

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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 describes states’ current provider taxes and explores how rules governing provider taxes are changing.

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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  • Deficit Reduction Act of 2005: Implications for Medicaid

    Issue Brief

    This issue brief summarizes the Medicaid provisions of the budget reconciliation law signed in February 2006 and discusses the implications of the proposed changes. The changes would net reductions of $4.8 billion over the next five years and $26.1 billion over the next ten years from current Medicaid spending. Issue Brief (.pdf)

  • Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices

    Report

    Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer Practices In the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening such rules. But, because of demographic trends that will increase pressure on Medicaid and concerns that the Medicaid program may be financing care for…

  • Private Long-Term Care Insurance: A Viable Option for Low and Middle-Income Seniors?

    Issue Brief

    In the Deficit Reduction Act of 2005, the federal government made it harder for individuals to qualify for Medicaid nursing home benefits by increasing penalties on individuals who have transferred assets for less than fair market value during the past five years and by making individuals with home equity above $500,000 ineligible for nursing home benefits. The legislation also lifts the moratorium on the number of states that may operate Long-Term Care (LTC) Partnership Programs,…

  • Resources on Medicaid Policy Changes in the Federal Budget Reconciliation Bill

    Issue Brief

    The Foundation's Kaiser Commission on Medicaid and the Uninsured has collected resources related to the Medicaid policy changes in the budget reconciliation law, Deficit Reduction Act of 2005. Deficit Reduction Act of 2005: Implications for Medicaid West Virginia Medicaid State Plan Amendment: Key Program Changes and Questions KYHealth Choices Medicaid Reform: Key Program Changes and Questions Reports Explore Long-Term Care Issues Included in the Deficit Reduction Act The Nuts and Bolts of Making Medicaid Policy…

  • Medicaid and Budget Reconciliation:  Implications of the Conference Report

    Issue Brief

    Medicaid and Budget Reconciliation: Implications of the Conference Report This issue brief provides an overview of the federal budget context and then highlights key Medicaid savings proposals in the budget reconciliation conference bill and discusses the implications of the proposed changes. Issue Brief (.pdf)

  • The Implications of a Loss in Public Health Coverage

    Event Date:
    Event

    A new Health Affairs article and a policy brief examine the implications of cuts to public coverage programs like Medicaid and SCHIP. The Health Affairs article finds that Medicaid and SCHIP cuts would increase emergency department visits by the uninsured, suggesting that cost containment actions on public coverage programs would shift costs to hospital uncompensated care. The policy brief examines the share of current enrollees in public programs who would have other coverage options if…

  • What Happens When Public Coverage Is No Longer Available?

    Issue Brief

    This policy brief examines national data to determine the share of current enrollees of public health coverage programs who would have alternate coverage options if public coverage were no longer available. The authors estimate that no more than 9 percent of low-income adults would have access to an alternative source of insurance in the absence of public coverage. This research suggests that the vast majority of current enrollees affected by cutbacks in eligibility for public…