How States Are Implementing Medicaid Work Requirements

Federal law will require that adults enrolled in the Medicaid expansion meet new work requirements starting on Jan. 1, 2027, though several states are implementing them sooner. Nebraska started its program on May 1. Montana and Iowa plan to start in July and December, respectively. The new rule will require Medicaid expansion recipients to complete 80 hours of work or approved activities each month. Qualifying activities include community engagement, job training programs, or being at least a half-time student. Americans can qualify for Medicaid—a joint federal and state program that helps cover medical costs—based on income, household size, disability, family status, and other factors. Requirements and benefits can vary by state....