TABLE 1—

Overview of US Work Requirement Programs for Medicaid Eligibility, as of February 2019

State	Medicaid Expansion Status	Federal Approval	Work Required	Eligibility Levels for Adults	Consequence of Noncompliance
Alabama			35 h/wk (20 h/wk for parents or caregivers of small children)	0%–18% FPL, parents aged 19–59 y	Individuals have 90 d to become compliant or are disenrolled
Arizona	X	X	20 h/wk	0%–138% FPL, individuals aged 19–54 y	Termination of enrollment for failure to comply after 6-mo grace period
Arkansas	X	X	80 h/mo	0%–138% FPL, individuals aged 19–49 y	Noncompliance for 3 mo results in enrollment termination for year
Indiana	X	X	20 h/wk	0%–138% FPL, individuals aged 19–64 y	Individuals who do not meet criteria in 4 of the previous 12 mo lose enrollment for 1 y
Kansas^a			Based on household size, between 20 and 35 h/wk	0%–38% FPL, individuals aged 19–64 y	Individuals can fail to meet requirements in 3 mo of 36-mo period and then are disenrolled
Kentucky^b	X	X	80 h/mo	0%–138% FPL, individuals aged 19–64 y	Noncompliance for 1 mo leads to enrollment termination until they meet requirements
Maine^c	X	X	20 h/wk	0%–105% FPL, individuals aged 19–64 y	Individuals can fail to meet requirements in 3 mo of 36-mo period and then are disenrolled
Michigan	X	X	80 h/mo	100%–138% FPL, individuals aged 19–62 y	Noncompliance for 1 mo leads to disenrollment
Mississippi			20 h/wk	0%–100% FPL, individuals aged 19–64 y	Noncompliance for 1 mo leads to disenrollment
New Hampshire	X	X	100 h/mo	0%–138% FPL, individuals aged 19–64 y	Noncompliance for 1 mo leads to enrollment termination until they meet requirements
Ohio	X		20 h/wk	0%–138% FPL, individuals aged 18–50 y	Noncompliance for 1 mo leads to disenrollment
Oklahoma			20 h/wk	0%–45% FPL, individuals aged 18–50 y	Disenrollment after 3 mo of noncompliance
South Dakota			80 h/mo	0%–51% FPL, individuals aged 19–59 y	Disenrollment after 3 mo of noncompliance
Tennessee			20 h/wk	0%–98% FPL, individuals aged 19–64 y	Individuals must meet requirements 4 of 6 mo to retain eligibility
Utah	X		30 h/wk	60%–100% FPL for parents and 0%–100% FPL for childless adults, individuals aged 19–60 y	Disenrollment after 3 mo of noncompliance in a 12-mo period
Virginia	X		80 h/mo	0%–138% FPL, individuals aged 19–64 y	Individuals who do not meet requirements for 3 mo in 12-mo period will have coverage suspended
Wisconsin		X	20 h/wk	51%–100% of FPL, individuals aged 18–48 y	Participation in work requirements extends the length of time allowed on Medicaid

Note. FPL = federal poverty level, defined annually by the US Department of Health and Human Services.

^{^a}

Waiver rejected by Trump administration.

^{^b}

Approved by Trump administration but invalidated by court.

^{^c}

Newly elected Democratic governor pulled state out of waiver application after federal approval.