Ask Medicaid Florida

The 2025 Budget Reconciliation Bill (H.R. 1) introduces significant changes to Medicaid, including a nationwide work requirement for many Medicaid expansion adults. Beginning in 2027, eligible beneficiaries may need to complete at least 80 hours per month of work, education, job training, or community service to maintain coverage. Learn who is affected, who qualifies for exemptions, how states must implement the rules, and what these changes mean for Medicaid recipients.

Florida’s Medicaid program faces a convergence of operational, fiscal and policy pressures in 2026–27. The most urgent issues are falling enrollment that masks unmet need, procedural disenrollments, a major managed-care transition, provider network stress, federal funding shifts and political resistance to Medicaid expansion.