Amid Implementation of Consequential Medicaid Changes, 21 States Will Have New Governors and DC Will Have a New Mayor in 2027 Published: November 6, 2026

https://www.kff.org/quick-insights/amid-implementation-of-consequential-medicaid-changes-21-states-will-have-new-governors-and-dc-will-have-a-new-mayor-in-2027/ With 21 new governors set to take office next year— including five from different parties— states already navigating complex Medicaid changes now face an added layer of uncertainty. Leadership transitions can slow implementation and shift policy priorities, raising questions about how states will meet tight deadlines on Medicaid work requirements and other major changes in the new year.