New FEDERAL rules that are to go into effect in 2027 will require some Americans enrolled in an expansion of the Medicaid program to show they’re working at least 80 hours per month — however the law President Trump signed in July lets states implement the changes earlier. According to a news brief from Radio Iowa, Governor Kim Reynolds says she expects the change will take effect in Iowa on January 1st of 2026. It will apply to about 100-thousand able-bodied adults under the age of 65 who are covered by the Iowa Health and Wellness Plan. They are Iowans with slightly higher incomes enrolled in Medicaid under a program expansion approved in 2013. The work requirements for adults enrolled in expanded Medicaid in Iowa will not apply to Iowans with disabilities, serious illnesses or injuries — or to parents caring for children under age six.
This story and photo are courtesy Radio Iowa. Full story can be found here: https://www.radioiowa.com/2025/08/19/governor-says-iowa-medicaid-work-requirements-will-go-into-effect-jan-1/
