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·Pulse issue · August 30, 2026

Medicaid's 2027 care test

New Medicaid work reporting rules and approaching funding cuts put separate tests in front of states: clear coverage rules for parents and sustained support for nonmedical home care.

The question

How will Medicaid changes in 2027 affect the care support households can use at home?

Background

Starting January 2027, expanded-Medicaid states must implement work reporting requirements for low-income adults, while states that cover nonmedical home care face Medicaid funding pressure.

The read

The two developments put Medicaid coverage rules and nonmedical home care funding pressure on the same 2027 policy calendar.

2 developments · 2 cited sources

What happens next

How will expanded-Medicaid states implement work reporting requirements before January 2027?

What could change this read

Evidence about which adults are not subject to or excluded from work reporting requirements would materially change this read.

Developments in this issue

Reference paths