Exploring Medicaid Work Requirements Under the 2025 Reconciliation Law
A detailed examination of the implementation of Medicaid work requirements as outlined in the 2025 Reconciliation Law, including state-specific waivers and key data.
The 2025 Reconciliation Law introduces significant changes to Medicaid, particularly concerning work requirements. These requirements are set to begin in January 2027, prompting various implementation questions.
State-by-state information regarding Medicaid 1115 work requirement waivers will be crucial for understanding how these changes will affect beneficiaries across the country.
An interactive tracker is available to monitor key data and policies related to Medicaid work requirements, providing insights into the evolving landscape of Medicaid under this new law.
Updates
Update at 16:48 UTC on 2026-04-29
KFF reported State-by-state information on Medicaid 1115 work requirement waivers. KFF reported KFF resources on the Medicaid work requirements in the 2025 Reconcilation law. KFF reported 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. Additional matching coverage came from 2 more sources.
Sources: KFF
Update at 12:58 UTC on 2026-05-21
KFF reported This brief explains current Medicaid cost sharing rules and changes made to cost sharing rules by the 2025 reconciliation law, reports on cost sharing amounts states currently impose on ACA expansion adults, and highlights literature on the.
Sources: KFF