Federal Medicaid Work Requirements Rollout for 2027
Key Questions
How many people might lose Medicaid under the new work requirements?
KFF estimates 5 million could lose coverage as 39 states launch requirements in January 2027. This follows $900 billion in cuts that could leave 27 million uninsured.
What reforms are being added to Medicaid alongside work requirements?
HHS and CMS are introducing fraud controls and reforms. State budget pressures have already prompted cuts in Colorado, Idaho, Kentucky, and New Mexico, raising rural hospital risks.
What is the Able Tomorrow Act and how does it relate to Medicaid?
The Able Tomorrow Act (S. 4498) would expand ABLE account protections to prevent Medicaid recovery. It allows higher savings without losing eligibility for SSI, Medicaid, or SNAP.
KFF: 39 states launch Jan 2027 (5M losses); HHS/CMS reforms add fraud controls; $900B cuts, 27M uninsured, rural hospital risks. State budget pressures causing cuts in CO, ID, KY, NM. Able Tomorrow Act (S. 4498) would expand ABLE account protections, preventing Medicaid recovery and allowing higher savings without losing SSI/Medicaid/SNAP.