An Early Look at State Approaches to Implementing Medicaid Work Requirements

Starting January 1, 2027, federal law will require that adults enrolled in the Affordable Care Act (ACA) Medicaid expansion and enrollees in partial expansion waiver programs in Georgia and Wisconsin meet new work requirements. On April 30, 2026 , KFF hosted an hour-long interactive virtual briefing focused on states’ efforts to implement these new Medicaid work and community engagement requirements, which have created new administrative demands on states at a time of federal funding cuts, slowing revenue growth, and increasing spending demands. The briefing included a presentation of findings from KFF’s 24th annual survey of state Medicaid and CHIP program officials on eligibility, enrollment, and renewal policies, conducted with Georgetown University’s Center for Children and Families, as well as insights from Kate McEvoy of the National Association of Medicaid Directors about how states are approaching implementation of Medicaid work requirements. Participants will be able to submit questions for the panelists.