Medicaid's work requirement is federal, but each state decides how it checks, which letters it sends and where you report. Pick your state.
| State | Status |
|---|---|
| Arkansas | Checking since July 1, 2026, penalties from January 1, 2027 |
| Georgia | In force since July 1, 2023 |
| Iowa | Starts December 1, 2026 |
| Montana | In force since July 1, 2026 |
| Nebraska | In force since May 1, 2026 |
| State | Status |
|---|---|
| Arizona | Starts January 1, 2027 |
| California | Starts January 1, 2027 |
| Illinois | Starts January 1, 2027 |
| Indiana | Starts January 1, 2027 |
| Michigan | Starts January 1, 2027 |
| New Hampshire | Starts January 1, 2027 |
| New Jersey | Starts January 1, 2027 |
| New York | Starts January 1, 2027 |
| Ohio | Starts January 1, 2027 |
| Pennsylvania | Starts January 1, 2027 |
| Virginia | Starts January 1, 2027 |
| Washington | Starts January 1, 2027 |
Your state is not listed yet? The federal rule still applies from January 1, 2027 to adults covered through Medicaid expansion. More states are being added every week.