Iowa will implement work requirements for its Medicaid expansion program beginning Jan. 1, 2026, Radio Iowa reported Aug. 19.
Under the recently signed One Big Beautiful Bill Act, states will have to establish Medicaid work requirements for certain individuals, beginning in 2027. Individuals will need to work at least 80 hours, complete community service, participate in a work program, or enroll in an educational program for a set number of hours each month.
The law lets states implement the changes earlier. Iowa Gov. Kim Reynolds said she expects federal officials to release final work requirement guidelines soon.
“There’s not very many discrepancies between what we had submitted and what they’re doing,” she said, according to the report.
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