Understanding Medicaid Work Requirements Under the 2025 Reconciliation Law
This overview addresses key questions and data concerning the implementation of Medicaid work requirements mandated by the 2025 Reconciliation Law, effective January 2027.
The 2025 Reconciliation Law introduces work requirements for Medicaid, set to begin in January 2027. This law raises several implementation questions that states must navigate.
An interactive tracker provided by KFF offers state-by-state information on Medicaid 1115 work requirement waivers, which are crucial for understanding how different states will comply with these new regulations.
As states prepare for these changes, the tracker will also include key data and policies that will influence the implementation of work requirements across the country.
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