Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Sep 29, 2026

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-1115-waivers/

Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: Sep 29, 2026

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-resources/

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-overview/ The 2025 reconciliation law, once called the “One Big Beautiful Bill,” signed by President Trump on July 4, 2025, requires 44 states (including DC) to condition Medicaid eligibility for adults in the Affordable Care Act (ACA) Medicaid expansion group and certain enrollees in 1115 waiver programs on meeting work requirements starting January 1, 2027. Currently, 41 states (including DC) have expanded their Medicaid programs under the ACA to nearly all adults with income up to 138% FPL ($21,597 for an individual in 2025). In June 2026, CMS released a list of states with 1115 waiver programs that include individuals who will be subject to work requirements. The list identifies waiver programs in three non-expansion states Georgia, Tennessee, and Wisconsin, as well as in five expansion states, Hawaii, Massachusetts, New York, Oregon, and Utah (Figure 1).

Americans’ Challenges with Health Care Costs Published: Sep 29, 2026

https://www.kff.org/health-costs/americans-challenges-with-health-care-costs/ This data note reviews our recent polling data that finds that many Americans struggle to afford many aspects of health care, including disproportionate shares of uninsured adults, Black and Hispanic adults and those with lower incomes.

Early Medicaid Work Requirement Insights From Nebraska Authors: Amaya Diana, Anna Mudumala, and Jennifer Tolbert Published: Sep 29, 2026

https://www.kff.org/medicaid/early-medicaid-work-requirement-insights-from-nebraska/ This brief describes the verification process for Medicaid work requirements in Nebraska and examines early data on outcomes for individuals subject to work requirements.

The Legal and Policy Landscape of Crisis Pregnancy Centers Authors: Rolonda Donelson, Laurie Sobel, and Alina Salganicoff Published: Sep 30, 2026

https://www.kff.org/womens-health-policy/the-legal-and-policy-landscape-of-crisis-pregnancy-centers/ This brief examines the legal status of Crisis Pregnancy Centers, attempts to regulate them, and future efforts to expand their footprints as they gain more recognition and funding from local, state, and federal programs.

Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State Published: Sep 30, 2026

https://www.kff.org/medicaid/medicaid-waiver-tracker-approved-and-pending-section-1115-waivers-by-state/ Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute, if [in the HHS Secretary’s view] the approach is likely to “promote the objectives of the Medicaid program.” They can provide states additional flexibility in how they operate their programs, beyond the considerable flexibility that is available under current law. Waivers generally reflect priorities identified by states as well as changing priorities from one presidential administration to another. Nearly all states have at least one active Section 1115 waiver and some states have multiple 1115 waivers. See the “Key Themes Maps” tab for a discussion of recent waiver trends.