Tag: Medicaid work requirements
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Nebraska becomes first state to implement Medicaid work requirements after passage of the One Big Beautiful Bill Act
On May 1, Nebraska became the first state to implement Medicaid work requirements after Congress passed the One Big Beautiful Bill Act (OBBBA). The OBBBA directs states to adopt policies requiring able-bodied Medicaid recipients in the Affordable Care Act (ACA) expansion group to work 80 hours per month beginning January 1, 2027. Nebraska became the…
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Idaho governor signs Medicaid work requirements bill requiring three months of compliance before enrollment
A previous version of this story included an error stating that Idaho was the only state requiring three months of compliance with Medicaid work requirements prior to enrollment. Indiana also recently passed a bill that requires this. On April 10, 2026, Idaho Gov. Brad Little (R) signed House Bill 913 establishing Medicaid work requirements in…
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Mandatory Medicaid work requirements are coming, what do they look like now?
The 2025 budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), established mandatory work requirements for certain able-bodied Medicaid recipients beginning in 2027. By creating a federal mandate, the OBBBA significantly changed the national landscape of Medicaid work requirements and states must respond by designing and implementing systems to comply, or risk losing federal…
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House Energy and Commerce Committee includes Medicaid work requirement in budget reconciliation bill
The House Energy and Commerce Committee passed its budget reconciliation bill on May 14 with a 30-24 vote after a May 13th markup of the previous draft version. The current version of the bill would require states to adopt community engagement requirements for able-bodied adults without dependents on Medicaid. The current version specifies community engagement…
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Kentucky Legislature overrides veto on Medicaid work requirements bill
On March 27th, the Kentucky Legislature voted to override Gov. Beshear's (D) veto of House Bill 695, which requires the state to seek work requirements for able-bodied adult Medicaid recipients. Kentucky has a divided government with a Republican-controlled legislature and a Democratic governor. Kentucky is one of six states that require a simple majority vote…
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Arkansas Governor applies to CMS for waiver to implement work requirements for Medicaid
Arkansas Governor Sarah Huckabee Sanders sent a section 1115 waiver request to the Centers for Medicare and Medicaid Services (CMS) last Tuesday, January 28th, requesting permission to implement work requirements for able-bodied Medicaid recipients aged 19-64. Section 1115 of the Social Security Act allows for states to request approval from the CMS to waive certain…