Tag: work requirements
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Arkansas and Montana implement Medicaid work requirements before deadline
On July 1, Arkansas and Montana began implementing work requirements for Medicaid enrollees, becoming the second and third states to do so after President Donald Trump (R) signed the One Big Beautiful Bill Act (OBBBA) on July 4, 2025. The OBBBA established the first federal work requirements for Medicaid and requires states to adopt these…
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CMS releases interim final rule for Medicaid work requirements, defines medical frailty exemption
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) released an Interim Final Rule with Comment Period (IFC) governing how states implement Medicaid work requirements — also known as community engagement requirements — enacted into law as part of the One Big Beautiful Bill Act (OBBBA). The nearly-400 page document establishes standards…
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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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Kentucky legislature overrides governor's veto on Medicaid work requirements bill
On April 14, 2026, the Kentucky General Assembly voted along party lines to override line item vetoes from Kentucky Gov. Andy Beshear (D) of House Bill 2 and enshrined changes to Medicaid rules into state law. Beshear had vetoed several portions of the bill, including a requirement that Medicaid applicants demonstrate three months of compliance…
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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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Summary of the Trump administration's history on Medicaid work requirements
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,…