Medicaid work requirements are changing across the United States. Beginning January 1, 2027, federal law requires states to establish a new Medicaid community-engagement requirement for certain adults, unless a state implements the requirement earlier.

But if you live in Florida, there is an important distinction: the new federal Medicaid work requirement does not automatically apply to every person who receives Florida Medicaid. The federal requirement primarily applies to adults covered through the Affordable Care Act (ACA) Medicaid expansion and certain Medicaid waiver populations. Florida has not adopted the ACA Medicaid expansion, so Florida's Medicaid population is different from the expansion population affected in expansion states.