A Closer Look at the Work Requirement Provisions in the 2025 Federal Budget Reconciliation Law
A detailed policy brief analyzing the new work requirement provisions for Medicaid created by the 2025 federal budget reconciliation law.
The brief explains how the law requires states to impose work-or-community-engagement mandates on expansion-eligible adults ages 19-64 unless exempt, design a “look-back” period, and verify compliance at application and renewal.
It outlines key implementation milestones (e.g., state outreach by Sept 2026, full compliance no later than Jan 2027) and discusses potential impacts including reductions in coverage and increased administrative burdens.
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