The proposed American Health Care Act (AHCA) includes a state option to make Medicaid eligibility for nondisabled, nonelderly, non-pregnant adults conditional upon satisfaction of a work requirement. Although the Centers for Medicare and Medicaid Services denied all state Section 1115 waiver requests to institute such work requirements under the Obama administration, earlier this month the Trump administration signaled in a letter to governors that CMS now would be open to considering such proposals.

A new brief from the Kaiser Family Foundation identifies key policy questions to consider about the impact of work requirements on Medicaid beneficiaries and states. It also highlights which states have sought approval for waiver requests relating to Medicaid work requirements, including both denied and still pending requests before CMS.