{"id":698374,"date":"2025-12-03T09:32:00","date_gmt":"2025-12-03T14:32:00","guid":{"rendered":"https:\/\/www.kff.org\/?p=698374"},"modified":"2026-02-11T13:16:15","modified_gmt":"2026-02-11T18:16:15","slug":"medicaid-work-requirements-tracker-overview","status":"publish","type":"post","link":"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/","title":{"rendered":"Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements"},"content":{"rendered":"<div\n\tclass=\"no-sidebar wp-block-kff-shared-content--blank-slate wp-block-kff-shared-content\">\n\t\n\n<section class=\"wp-block-kff-shared-content-main\">\n\t\t\t\t<div class=\"wp-block-kff-shared-content-main__content__inner\">\n\t\t\n\n<h1 class=\"wp-block-heading has-text-align-center has-heading-1-font-size\" id=\"h-tracking-implementation-of-the-2025-reconciliation-law-medicaid-work-requirements\">Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements<\/h1>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--d-2);margin-bottom:var(--wp--preset--spacing--d-6)\">\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-c8d666f2 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-primary\"><a class=\"wp-block-button__link wp-element-button\">Overview<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-state-national-data-and-policies\/\">State\/National Data &amp; Policies<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-implementation-questions\/\">Guidance &amp; Implementation Questions<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--3\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-1115-waivers\/\">Implementation\/Waiver Status<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--4\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-resources\/\">Related Resources<\/a><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"wp-block-paragraph\">The 2025 reconciliation law, once called the \u201cOne Big Beautiful Bill,\u201d signed by President Trump on July 4, 2025, conditions Medicaid eligibility for adults in the Affordable Care Act (ACA) Medicaid expansion group and enrollees in partial expansion waiver programs (Georgia and Wisconsin) on meeting work requirements starting January 1, 2027. Currently, 41 states (including DC) have expanded their Medicaid programs under the ACA to nearly all adults with income up to 138% FPL ($21,597 for an individual in 2025).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">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, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-state-national-data-and-policies\/\">State and national data and current state policies<\/a> related to Medicaid enrollment, renewal outcomes, and application processing times that can serve as a baseline for assessing the potential readiness to implement the requirements and the impact of work requirements once implemented;<\/li>\n\n\n\n<li class=\"wp-block-list-item\"><a href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-implementation-questions\/\">Federal guidance and a list of policy and operational questions<\/a> that states will need to answer as they implement work requirements;<\/li>\n\n\n\n<li class=\"wp-block-list-item\">Updates on <a href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-1115-waivers\/\">1115 waivers<\/a> submitted by states to implement work requirements (while waivers will no longer be needed starting January 2027, some states may pursue waivers to implement work requirements earlier than January 2027); and<\/li>\n\n\n\n<li class=\"wp-block-list-item\">A <a href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-resources\/\">compilation<\/a> of KFF issue briefs and other resources on Medicaid work requirements.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">This resource will be updated to include guidance from the Centers for Medicare and Medicaid Services (CMS), information on state policy decisions as they are made, and new data when available.<\/p>\n\n\n\n<div class=\"wp-block-group has-primary-000-background-color has-background is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-1088f1c1 wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--d-1);padding-right:var(--wp--preset--spacing--d-1);padding-bottom:var(--wp--preset--spacing--d-1);padding-left:var(--wp--preset--spacing--d-1)\">\n<p class=\"wp-block-paragraph\" style=\"margin-top:var(--wp--preset--spacing--d-2);margin-bottom:var(--wp--preset--spacing--d-2)\"><strong>Continue scrolling to learn more about the Medicaid work requirements in the 2025 reconciliation law.<\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"flourish-embed flourish-embed-scrolly-story\" data-src=\"story\/3420062?2315885\">\n\t\t\t<script src=\"https:\/\/public.flourish.studio\/resources\/embed.js\"><\/script>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"padding-top:var(--wp--preset--spacing--d-4)\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div class=\"wp-block-buttons is-content-justification-right is-layout-flex wp-container-core-buttons-is-layout-d445cf74 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--5\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-state-national-data-and-policies\/\">Next:  State\/National Data &amp; Policies<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\t<div class=\"post-footer\">\n\t<div class=\"post-footer__title\">More On<\/div>\n\t<div class=\"post-footer__links\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/medicaid\/\">\n\t\t\t\tMedicaid\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/topic\/state-health-policy-data\/\">\n\t\t\t\tState Health Policy and Data\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/enrollment\/\">\n\t\t\t\tEnrollment\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/federal-budget\/\">\n\t\t\t\tFederal Budget\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/medicaid-work-requirements\/\">\n\t\t\t\tMedicaid Work Requirements\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/state-budgets\/\">\n\t\t\t\tState Budgets\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.kff.org\/tag\/waivers\/\">\n\t\t\t\tWaivers\t\t\t<\/a>\n\t\t\t<\/div>\n<\/div>\n\t\t\t<\/div>\n\t<\/section>\n\n\n\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>KFF&#8217;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. <\/p>\n","protected":false},"author":155412888,"featured_media":698898,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"authors":[],"exhibits":[],"jetpack_post_was_ever_published":true,"ep_exclude_from_search":false,"_classifai_error":"","_classifai_text_to_speech_error":"","hide_from_search":false,"show_featured_image":false,"subheading":"","tag":"","search_keywords":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"shortlink":"","footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[140023,579145479],"tags":[226706,28114,579144924,1301486,522163],"content-types":[579145486,579145492],"program":[417697747],"series":[],"partner":[],"class_list":["post-698374","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medicaid","category-state-health-policy-data","tag-enrollment","tag-federal-budget","tag-medicaid-work-requirements","tag-state-budgets","tag-waivers","content-types-feature","content-types-tracker","program-program-on-medicaid-uninsured"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.9 (Yoast SEO v25.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF<\/title>\n<meta name=\"description\" content=\"KFF&#039;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.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF\" \/>\n<meta property=\"og:description\" content=\"KFF&#039;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.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\" \/>\n<meta property=\"og:site_name\" content=\"KFF\" \/>\n<meta property=\"article:published_time\" content=\"2025-12-03T14:32:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-11T18:16:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/12\/8fece04e-5186-4dee-a3ac-0a76d038dd85.png\" \/>\n\t<meta property=\"og:image:width\" content=\"4000\" \/>\n\t<meta property=\"og:image:height\" content=\"2251\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"kffmichaelp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"kffmichaelp\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\"},\"author\":{\"name\":\"kffmichaelp\",\"@id\":\"https:\/\/www.kff.org\/#\/schema\/person\/dcda187052e246746e62ed6d2317333c\"},\"headline\":\"Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements\",\"datePublished\":\"2025-12-03T14:32:00+00:00\",\"dateModified\":\"2026-02-11T18:16:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\"},\"wordCount\":326,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/www.kff.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/12\/8fece04e-5186-4dee-a3ac-0a76d038dd85.png\",\"keywords\":[\"Enrollment\",\"Federal Budget\",\"Medicaid Work Requirements\",\"State Budgets\",\"Waivers\"],\"articleSection\":[\"Medicaid\",\"State Health Policy and Data\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\",\"url\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\",\"name\":\"Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF\",\"isPartOf\":{\"@id\":\"https:\/\/www.kff.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/12\/8fece04e-5186-4dee-a3ac-0a76d038dd85.png\",\"datePublished\":\"2025-12-03T14:32:00+00:00\",\"dateModified\":\"2026-02-11T18:16:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.kff.org\/medicaid\/medicaid-work-requirements-tracker-overview\/#primaryimage\",\"url\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/12\/8fece04e-5186-4dee-a3ac-0a76d038dd85.png\",\"contentUrl\":\"https:\/\/www.kff.org\/wp-content\/uploads\/sites\/7\/2025\/12\/8fece04e-5186-4dee-a3ac-0a76d038dd85.png\",\"width\":4000,\"height\":2251},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.kff.org\/#website\",\"url\":\"https:\/\/www.kff.org\/\",\"name\":\"KFF - 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