The 2025 budget reconciliation bill (H.R. 1) requires states to implement work reporting requirements (WRRs) for Medicaid expansion adults, as well as adults covered by partial adult waiver expansions in Georgia and Wisconsin, starting in 2027. In 43 states including the District of Columbia, unless they are exempt, expansion adults must show they make at least $580 per month or report at least 80 hours per month of work or other qualifying activities when they apply for Medicaid, and every six months when they renew their eligibility. A study from the Urban Institute estimates that between 4.9 to 10.1 million people will lose coverage by 2028 as a consequence of this new requirement, as well as more frequent renewals required by the new law.
This landing page tracks the implementation of work reporting requirements across states, including state-level policy and operational decisions, administrative and technology costs, and the resulting impact on Medicaid enrollment. We will update resources continuously as the rollout progresses.
Federal Work Reporting Requirements under H.R. 1
This page includes information and federal guidance on Medicaid work reporting requirements established under H.R. 1. Resources will be updated as further federal guidance is released.
Medicaid Enrollment Trends
This page includes a comprehensive 50-state Medicaid and CHIP enrollment tracker with timely data on enrollment trends for children, adults, and Medicaid expansion adults, where applicable.
State Implementation of Work Reporting Requirements
This page includes data and resources to monitor implementation of work reporting requirements across states, including state-level policy and operational decisions.
State Administration and Technology Costs
This page includes more details on the administrative and technology costs that state and federal governments incur to comply with work reporting requirements.
State and Enrollee Materials
This page includes materials or webpages developed by state Medicaid agencies for Medicaid beneficiaries or those who work with beneficiaries.
- Center for Health Care Strategies, Summary of Federal Medicaid Work Reporting Requirements, June 2026
- KFF, Work Reporting Requirements Tracker
- Urban Institute, Projected Reductions in Medicaid Expansion Enrollment Under OBBBA’s Work Requirements and Six-Month Redeterminations,
March 2026 - RAND, State-Level Impacts of Key Medicaid Provisions in the One Big Beautiful Bill Act, February 2026
- KFF, A Closer Look at California’s Plans to Implement Work Requirements While Facing Major Budget Shortfalls Amid Cuts in Federal Medicaid Funding,
April 2026 - Urban Institute, Ensuring Continuous Coverage for Pregnant and Postpartum Medicaid Enrollees Under OBBBA, April 2026
- Code for America, Step-by-step guides for designing agency systems and client portals
- State Health and Value Strategies, Policy Toolkits and Federal Requirement Breakdowns
- Inseparable, Medicaid, Mental Health, and H.R. 1: A State Guide to Using Data for Community Engagement Determinations
- NHELP, State Implementation of Medicaid Work Requirements | Guidelines for Public Records Requests, February 2026
- CBPP, Assessing the Medicaid Work Requirement Vendor Landscape, February 2026
- NHeLP, Blog Series: Timely Tips to Safeguard Medicaid