A new development for state Medicaid programs is that the states are now allowed to require Medicaid recipients to work, take job training or do community service in order to maintain their eligibility. Some states have already implemented this change. Ohio has made no indication yet that it intends to enact a work requirement. If this work requirement is enacted, will this mean that older adults in a nursing home or younger persons with disabilities will be required to work? It appears that there is an exception for older Medicaid recipients, children under age 19 and pregnant women from this work requirement. However the details of how this will be determined in the Medicaid process are uncertain. This is something we will need to keep an eye on if the state of Ohio attempts to enact this work requirement.