The House Energy and Commerce Committee passed their 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…
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…
In South Dakota, voters will decide on a constitutional amendment to condition state Medicaid expansion on federal funding remaining at or above 90%. Voters will decide on the amendment in the election on Nov. 3, 2026. If federal funding falls below 90%, the constitutional requirement for Medicaid expansion would no longer apply. Voters adopted this…
Donald Trump (R) was inaugurated as president for his second term on January 20, 2025. During his first term, the Centers for Medicare and Medicaid Services (CMS) invited states to apply for Section 1115 waivers, which, if approved by CMS, allow states to implement work requirements and other conditions for Medicaid. Between 2018 and 2020,…
A Medicaid expansion bill in Mississippi died in negotiations between the Mississippi House and Senate, primarily over the inclusion of work requirements in the final version, resulting in its failure to pass before the session deadline on May 2, 2024. The Mississippi House of Representatives passed House Bill 1725 on February 28, 2024, with a…
The Mississippi House of Representatives passed H.B. 1725 on February 28, 2024, which would expand Medicaid eligibility for people who earn up to 138% of the federal poverty level and meet work requirements. The bill directs the Mississippi Division of Medicaid to apply for a waiver from the federal Centers for Medicare and Medicaid Services…
South Dakota voters will decide on a constitutional amendment that will allow for the state legislature to establish work requirements for certain individuals to receive Medicaid. The amendment will appear on the November 2024 ballot. The amendment, which was introduced to the state legislature as Senate Joint Resolution 501 (SJR 501), passed the Senate by…
The Republican-led South Dakota Senate passed Senate Joint Resolution (SJR) 501 on January 25, 2024, which would ask voters to weigh in on a proposed constitutional amendment allowing for work requirements in the state’s expanded Medicaid program. South Dakota voters in November 2022 approved a constitutional amendment to expand Medicaid to people who earn up…
The state of Georgia filed a federal lawsuit against the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) on February 2, 2024, to obtain an extension on the state’s Medicaid program—currently the only state program in the country with a work requirement. Georgia Pathways to Coverage, an…
Kansas Governor Laura Kelly (D) on December 14, 2023, proposed legislation to expand the state’s Medicaid program with work requirements for certain enrollees. The Cutting Healthcare Costs for All Kansans Act would require adults under 65 to provide employment verification to qualify for Medicaid. The bill aims to expand Medicaid to approximately 150,000 Kansans who…