NEW: Medicaid and CHIP enrollment has dropped in every state compared to a year ago in March 2025, with decreases as high as 20% in Indiana and as low as less than 1% in Iowa, based on new CMS data from March 2026.

New from @kff.org: 1.4 million Medicaid enrollees may be exempt from the work requirements included in the 2025 reconciliation law across the 39 states that are planning to adopt the optional high unemployment hardship exception.

Although new Medicaid work requirements for the expansion population have not gone into effect yet, Medicaid expansion enrollment fell by 536,000 from January to June 2025. Explore how enrollment has changed across states in KFF's Medicaid Work Requirements Tracker: www.kff.org/medicaid/med...

Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Data and Policies | KFF

Detailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements

kff.org

KFF's Medicaid Work Requirements Tracker is now updated with data through October 2025. Learn more: www.kff.org/medicaid/med...