Medicaid work requirements: every state's status
All 50 states and D.C., with each one's status under the federal 80-hour rule and its expected start. Snapshot 2026-07-03 — click any state for the full plain-English guide.
ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
Active now (federal rule)Active now (state program)Early start possibleScheduled - Jan 2027No federal requirementSee all states →
| State | Status | Expected start | ACA expansion |
|---|---|---|---|
| Alabama | No federal requirement | — | No |
| Alaska | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Arizona | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Arkansas | Early start possible | 2026-07-01 | Yes |
| California | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Colorado | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Connecticut | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Delaware | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| District of Columbia | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Florida | No federal requirement | — | No |
| Georgia | Active now (state program) | — | No |
| Hawaii | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Idaho | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Illinois | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Indiana | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Iowa | Early start possible | 2026-12-01 | Yes |
| Kansas | No federal requirement | — | No |
| Kentucky | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Louisiana | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Maine | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Maryland | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Massachusetts | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Michigan | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Minnesota | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Mississippi | No federal requirement | — | No |
| Missouri | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Montana | Active now (federal rule) | 2026-07-01 | Yes |
| Nebraska | Active now (federal rule) | 2026-05-01 | Yes |
| Nevada | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| New Hampshire | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| New Jersey | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| New Mexico | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| New York | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| North Carolina | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| North Dakota | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Ohio | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Oklahoma | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Oregon | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Pennsylvania | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Rhode Island | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| South Carolina | No federal requirement | — | No |
| South Dakota | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Tennessee | No federal requirement | — | No |
| Texas | No federal requirement | — | No |
| Utah | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Vermont | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Virginia | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Washington | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| West Virginia | Scheduled - Jan 2027 | 2027-01-01 | Yes |
| Wisconsin | No federal requirement | — | No |
| Wyoming | No federal requirement | — | No |
Not sure what your status means for you personally? The 2-minute exemption quiz turns it into a verdict.
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