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Medicaid work requirements

States Are Adopting a Variety of Outreach Strategies to Inform Individuals About Medicaid Work Requirements

Medicaid Work Requirements: Federal Outreach Requirements and State Plans

State Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, and social media posts. This brief describes the federal outreach requirements and state plans, as well as the complexities and tight implementation timelines states face.

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.

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 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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  • National Survey of the Public’s Views About Medicaid

    Poll Finding

    National Survey of the Public's Views About Medicaid This national survey of the public reveals that Americans view the Medicaid program positively and are reluctant to see state and federal cuts to the program. The survey also asked the public about their knowledge of the Medicaid program. Chartpack Toplines

  • National Survey of the Public’s Views About Medicaid – Toplines

    Poll Finding

    National Survey of the Public's Views About Medicaid - Toplines This toplines document provides key findings from the national survey of the public on their views about Medicaid. The survey was conducted in April and May of 2005. The survey includes findings on Americans' personal experience with Medicaid, their knowledge of the program, and their opinion about the program's coverage and funding by the state and federal government. Survey Toplines (.pdf)

  • National Survey of the Public’s Views About Medicaid – Chartpack

    Report

    This chartpack provides key findings from the national survey of the public on their views about Medicaid. The survey was conducted in April and May of 2005. The survey includes findings on Americans' personal experience with Medicaid, their knowledge of the program, and their opinion about the program's coverage and funding by the state and federal government. Chartpack (.pdf)

  • The Distribution of Assets in the Elderly Population Living in the Community

    Issue Brief

    Individuals cannot qualify for Medicaid nursing home care or home and community-based services unless they meet their state's asset eligibility standards. Currently, states are required to examine all transfers for less than fair market value that occurred within 36 months prior to an individual's application for Medicaid. This issue paper examines the assets of elderly people living in the community, focusing on those most at risk of using nursing home care. The paper finds that…

  • Unintended Consequences: The Potential Impact of Medicare Part D on Dual Eligibles with Disabilities in Medicaid Work Incentive Programs

    Report

    Individuals with disabilities who are eligible for both Medicare and Medicaid must also shift to a Medicare prescription drug benefit in 2006. This report analyzes how younger dual eligibles in Kansas enrolled in work incentive programs differ than other Medicare enrollees in the types of drugs they use and how much drug spending they have to better assess the impact of the Medicare drug benefit on this population. Report (.pdf)

  • Medicaid: Addressing the Future

    Event

    Diane Rowland, executive director of the Kaiser Commission on Medicaid and the Uninsured, testified before the U.S. Senate Special Committee on Aging on the future of Medicaid and its role for low-income Americans, particularly the elderly. Testimony (.pdf)

  • Medicare Prescription Drug Improvement and Modernization Act Implementation Timeline: June 2004 – December 2006 Key Dates

    Report

    Key Implementation Dates for the Medicare Prescription Drug Benefit This timeline presents important dates and deadlines of key implementation activities related to the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). It runs from the beginning of 2005 through the end of 2006, the first year of the new Medicare drug benefit. Some of these dates are defined in the MMA statute, while others are from the final rule issued by the Centers…

  • Stresses to the Safety Net:  The Public Hospital Perspective

    Report

    The nation’s safety net financing is fragmented; consequently, providers must knit together resources from many different funding sources to create a stream of revenue to cover the costs of providing a very broad range of services. This report describes those sources of revenue, documenting that nearly 40% of all safety net revenues are from Medicaid. The report also describes challenges that safety net hospitals and health systems are experiencing as they attempt to rebound from…

  • Medicaid Enrollment and Spending by “Mandatory” and “Optional” Eligibility and Benefit Categories

    Report

    Medicaid Enrollment and Spending by "Mandatory" and "Optional" Eligibility and Benefit Categories This report presents new estimates of the proportion of Medicaid beneficiaries and spending that is mandatory and optional to promote an increased understanding of how Medicaid restructuring proposals might affect the various groups and services covered by the program. Report (.pdf)

  • The Latest Data on Mandatory and Optional Populations and Benefits in Medicaid

    Report

    With discussions on restructuring Medicaid occurring in state capitols and Washington, two new reports provide the latest data on how much of Medicaid's spending is for covering mandatory versus optional populations and services. The analysis shows that although optional populations account for 29 percent of Medicaid enrollment, 60 percent of all Medicaid spending (whether for mandatory or optional populations) is optional and 86 percent of optional spending is for the elderly or individuals with disabilities.…