As of this month, 38 states and the District of Columbia have adopted Medicaid expansion, leaving only 12 non-adopters. Section 1115 waivers, which allow states to customize their Medicaid programs, are becoming increasingly popular; nearly a quarter of expansion states have submitted one. One potential customization is the addition of work requirements—when an enrollee’s status depends on them working, looking for work or participating in approved activities. Oklahoma, the latest state to fully expand, is using a waiver to add work requirements to their Medicaid program: an idea popular with those concerned about state budgets but one that often results in sharp coverage declines. Georgia was also recently approved to add work requirements, although the state stopped short of full expansion. [Included is] more on what’s new with Medicaid.

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