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State Policy·ID·July 24, 2026
Idaho to Implement Medicaid Expansion Work Requirements in 2027
Idaho will begin enforcing work requirements for Medicaid expansion enrollees in 2027 following state adoption of provisions from the federal One Big Beautiful Bill Act in April 2026. The Idaho Department of Health and Welfare will administer the requirements. State officials indicate most current enrollees already meet the work requirements. The policy affects Idaho's Medicaid expansion population, which gained coverage under voter-approved expansion.
Why it matters
Idaho becomes one of the first states to implement work requirements under the 2026 federal law, establishing operational precedent for coverage conditions that could affect expansion enrollment and state administrative costs.
Managed Care
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