Does Florida Medicaid require recipients to work 80 hours per month? As of October 2026, Florida does not enforce a statewide Medicaid work requirement. Senate Bill 1758 failed to become law, while new federal Medicaid work requirements are scheduled to begin in 2027 for certain adults. Learn why Florida's decision not to expand Medicaid matters, who could be affected by federal changes, and what recipients need to know to protect their healthcare coverage.