Guides: the Medicaid work requirement, worked out
Every number in these guides is computed from our state data spine and the statute — no vague filler. Snapshot 2026-07-03.
How many hours a week is the Medicaid work requirement?
The rule says 80 hours a month — 18.5 hours a week on average. But 6 different routes satisfy it, one needs no hour log at all, and caregivers may not need to count anything.
Read the guide →Which states have Medicaid work requirements in 2027 — and which never will?
80.4% of U.S. jurisdictions — 41 of 51 — are on the clock for January 2027. Only 1 enforces an 80-hour rule today, and it is not the federal one.
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