Work Reporting Requirements
H.R.1 imposed a mandate on states to establish new work reporting requirements (WRR) for adults covered through Medicaid expansion or similar coverage offered through a waiver.
Featured
-

The U.S. dollar wrapped by red tape
More On Work Reporting Requirements …
Explore this content in more detail
Go to the search page to sort and filter these results by date, topic, subtopic, author, and type.
-
New Report Examines How States Can Protect Pregnant/Postpartum Enrollees from Losing Health Coverage Due to Work Reporting Requirements (And Why We Should Still Be Worried)
As awareness has grown about the new Medicaid work reporting requirements (WRRs) that have already been put in place in some states but are mandated to begin January 1 of next year, it has created layers of confusion about who will be required to report work hours. Our new report on pregnant women and WRRs…
-
Medicaid Work Reporting Requirements: How Can States Protect Pregnant and Postpartum Women from Losing Health Coverage?
Overview Starting in January 2027, H.R. 1 requires every state that adopted the Affordable Care Act’s (ACA’s) Medicaid expansion to low-income adults (and select additional states) to implement work reporting requirements. These work reporting requirements (WRRs) predominantly affect those enrolled in the Medicaid expansion category—coverage for adults with incomes up to 138% of the federal…
-
New Federal Medicaid Work Reporting Requirements Rule Threatens Coverage for Vulnerable Americans: An Explainer of the Interim Final Rule
On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS), published the Interim Final Rule with Comment (CMS-2454-IFC, hereafter referred to as the IFR) “Medicaid Program; Community Engagement Requirement for Certain Individuals” as required by the 2025 Budget Reconciliation Law (hereafter referred to as H.R. 1). States that have expanded Medicaid to adults…
-
CMS Approach to Work Reporting Requirement Won’t Work for People with Substance Use Disorders or Mental Health Conditions
By Deborah Steinberg, Senior Health Policy Attorney, Legal Action Center A few weeks ago, CCF explained how the Centers for Medicare & Medicaid Services (CMS) issued a new interim final rule with comment period (IFR) that went far beyond its authority to implement the new work reporting requirements. H.R. 1 – the budget reconciliation law…
-
Post Office Rural Service and Proposed Medicaid Work Reporting Requirements on Collision Course
I recently wrote about problems with the federal government’s suggested definition of “volunteer” in the proposed rule implementing the new law (H.R. 1) passed by Congress that requires patients to meet work/volunteer reporting requirements to maintain Medicaid coverage. The changes in this law are estimated to increase the number of uninsured Americans by 10 million people…




