Delays the enactment of work requirements until the CBO certifies that it will not increase the administrative financial burden on states.
Delay the enactment of Medicaid work requirements until the CBO certifies they will not increase the administrative financial burden on states.
Occurrences
Evidence
Section 71119 of Public Law 119-21 creates Medicaid community engagement requirements for certain adults, with compliance starting no later than the first day of the first quarter after December 31, 2026, and allows states to start earlier. The enacted text sets an implementation date for work requirements; it does not condition those requirements on a CBO certification that state administrative burdens will not increase.
Oregon Gov. Tina Kotek said governors from several states are calling on HHS to stop forcing an unworkable rollout of new Medicaid requirements passed last year. The release says states must overhaul eligibility and technology systems without clear federal guidance, asks for answers by June 1, 2026, and says the policy is still headed toward a January 2027 effective date.
Axios reported that the Trump administration released a stricter rule for Medicaid work-requirement exemptions, including documentation demands if data do not prove an exemption. The article says CMS defended the policy while Democratic states warned it would create major administrative and IT burdens and could trigger litigation or delay efforts.
Assessments
The promised outcome was not achieved. Federal law enacted in July 2025 established Medicaid work requirements with an implementation timetable and did not delay enactment pending any CBO certification about administrative or financial burdens on states. Subsequent 2026 evidence shows states objecting that the mandate still imposes major administrative burdens and is moving forward toward a January 2027 effective date. Based on the record provided, Pettersen did not secure the requested delay condition, and there is no evidence here of a serious but unsuccessful legislative effort by her that would justify an effort badge.