Medicaid Work Requirements and Caregiver Exemptions

The new budget and tax law (Public Law 119-21, known as the One Big Beautiful Bill Act (OBBBA)) includes a universal mandate for each State to implement new work requirements for certain Medicaid enrollees. If enrollees are unable to meet these requirements, their individual Medicaid coverage will end. The law calls for States to implement the work requirements by January 2027, although they can do so earlier if they choose to do so.