Tracking Implementation of the 2025 Reconciliation Law Medicaid Work Requirements Updated on: May 14, 2026

https://www.kff.org/medicaid/medicaid-work-requirements-tracker-1115-waivers/ The 2025 reconciliation law requires states to condition Medicaid eligibility for adults in the ACA Medicaid expansion group on meeting work requirements starting January 1, 2027; however, states have the option to implement requirements sooner through a state plan amendment (SPA) or through an approved 1115 waiver.