KFF tracker shows Medicaid work requirements advancing in multiple states

The Kaiser Family Foundation's new tracker details state-by-state implementation of Medicaid work and community engagement requirements mandated by the 2025 federal reconciliation law. At least 15 states have submitted or are drafting Section 1115 waiver applications to enact requirements, with Idaho, New York, and Louisiana among the most advanced. The requirements could affect eligibility for millions of non-elderly, non-disabled adults. For clinics, this means increased front-desk burdens to verify beneficiary compliance and potential patient churn as enrollees lose coverage. Monitor your state's Medicaid agency website for public comment periods on waiver proposals; Idaho's comment window opens this month.