Medicaid Work Reporting Requirements: Implementation Planning Milestones

Support for this toolkit was provided by the State Health and Value Strategies program, a grantee of the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.

H.R.1, signed into law on July 4, 2025, requires that states implement work reporting requirements for adults ages 19 through 64 who are enrolled through Medicaid expansion or expansion-like coverage under a section 1115 demonstration. The effective date of work reporting requirements is January 1, 2027 and states will need to proactively prepare for implementation by developing comprehensive policy and operational plans that align with federal guidelines while addressing state-specific needs.  

A new toolkit by Manatt Health Partner , Partner and Senior Advisor , Senior Manager , Managing Director , and Managing Director outlines the key implementation milestones that it is anticipated states will need to meet to launch work reporting requirements and a timeline for doing so.

To read the full toolkit, click