KFF has published an Implementation Tracker for the 2025 Reconciliation Law focused on Medicaid Work Requirements. State and national data along with current state policies related to Medicaid Enrollments, renewal and application processing times are available for view.
Several states have submitted Section 1115 Work Requirements waivers since January 2025. Seven states are pending approval while Georgia’s “Pathways to Coverage” waiver was implement in July 2023. The waiver was approved for a temporary extension that included changes such as allowing parents or caretakers of children up to age 6 (in households at or below 100% FPL) to receive Medicaid without work requirements and eliminating the requirement of monthly reporting of work activities (in exchange for annual reporting). Georgia’s waiver is now set to expire December 2026. Georgia will likely need to comply with federal work requirements beginning January 1, 2027.
Overall, work requirements are estimated to reduce federal Medicaid spending by $326 Billion over 10 years. Capital Link analyzed the impact of potential policy changes on patient volume and health center revenues. They estimated percentage that 72% of Medicaid adults subject to reporting requirements may drop coverage because they are unable to verify either compliance with work requirements or an exemption. The total projected loss from annual revenue shortfalls from 2029 to 2032 could be almost $900 million.