Medicaid

Medicaid work requirements

Medicaid and the Road Ahead: Spending Cuts, Work Requirements and What’s Next for States, Providers and Families

Event Date: Jul 23, 2026

Passed last year, President Trump’s One Big Beautiful Bill Act made significant changes to Medicaid—the primary insurance provider for health and long-term care for people with low incomes. These changes are expected to lead to coverage loss for many current enrollees and will reduce funding for Medicaid, placing new financial pressures on states and health care providers. On July 23, KFF and States Newsroom hosted an event focused on the impacts of work requirements and other federal policy changes on states, health care systems, and people.

The Medical Frailty Exemption from Medicaid Work Requirements: Key Takeaways from the CMS Interim Final Rule

This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption when implementing Medicaid work requirements. Forty-four states must implement work requirements starting January 1, 2027, or sooner at state option.

Medicaid Work Requirements: Federal Outreach Requirements and State Plans

In 30 of the States Implementing Medicaid Work Requirements, Governors Are on the Ballot in November

Tracking Medicaid Work Requirements Data and Policies

Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State

new and noteworthy

Tracking Federal Action Related to Medicaid Program Integrity

Medicaid Program Integrity: Tracking State-Specific and Nationwide Federal Action

This page tracks emerging developments in the federal government’s approach to Medicaid program integrity, along with the implications of those actions for different states.

Spending on Medicaid State Directed Payments Before New Limits

Forty states and DC currently receive $93 billion in annual federal Medicaid spending through state directed payments (SDPs) and may be at risk due to forthcoming limits on these payments, according to new KFF estimates.

Forthcoming Policy Changes to Medicaid State Directed Payments

Medicaid/CHIP Monthly Enrollment Tracker

A Closer Look at Deficiencies in Nursing Homes

Understanding Medicaid Cost Sharing and Policy Changes

Dual Eligibles

A Profile of Dual-Eligible Individuals

About 12 million people are enrolled in both Medicare and Medicaid. These dual eligible individuals are a diverse group, but are more likely than other Medicare beneficiaries to report fair or poor health and to have lower incomes and more chronic conditions.
5 Key Facts About Spending and Enrollment for People with Medicare and Medicaid

Dual-eligible individuals make up a disproportionately large share of Medicare and Medicaid spending relative to their enrollment, in part reflecting higher rates of chronic illness.
State Health Facts: Enrollment and Spending for Dual-Eligible Individuals

This data collection draws on Medicare and Medicaid administrative data to present national and state-level information on people covered by both Medicare and Medicaid.