Arkansas
Arkansas spent $309M on vouchers while public schools lost 9,000 students. Medicaid work requirements failed before and are coming back.
Latest: June 29, 2026 Latest BriefArkansas L&D Units ClosingJune 22, 2026Republicans control the governor’s office, the Senate, and the House. Governor Sarah Huckabee Sanders is running for a second term. Arkansas was the first state to try Medicaid work requirements and the first to ban gender-affirming care for minors. Both experiments produced measurable harm.
The state is scaling vouchers faster than it budgeted for and cutting income taxes while public services shrink. Work requirements return in 2027.
School vouchers
Arkansas created Education Freedom Accounts through the LEARNS Act (SB 294), passed in 2023 with a House vote of 78-21. The program opened to all students for 2025-26. Demand outran the budget immediately.
A legislative panel approved an extra $90 million in June 2025, then another $32 million in January 2026, pushing the current-year cost past $309 million. The Department of Education estimated costs could reach $326 million before the year ends.
9,000 fewer students enrolled in Arkansas public schools in 2025-26, the steepest single-year decline in at least 20 years
”When you send me a budget, think of Kevin, think of Melissa, think of Ali and think of the 44,000 other EFA students whose lives have been forever changed because we fully fund the LEARNS Act.”
Governor Sarah Huckabee Sanders, April 2026 State of the StateSanders proposed a $6.5 billion budget directing half of new spending toward vouchers. Meanwhile, public school enrollment dropped to 465,421 students from 474,337. The majority of districts facing the steepest drops had fewer than 1,000 students. For small rural districts, even a small enrollment decline can push them toward fiscal distress or consolidation.
| Voucher program | Amount |
|---|---|
| Per-student EFA (2025-26) | $6,994 |
| Per-student EFA (2026-27) | $7,208 |
| Total program cost (2025-26) | $309M+ |
| Students approved | ~47,000 |
| Public school enrollment decline | 9,000 students (1.9%) |
Healthcare and benefits
Arkansas was the first state to implement Medicaid work requirements in June 2018. The program required beneficiaries ages 19-49 to report 80 hours per month of work or community engagement through an online portal. By March 2019, 18,000 people had lost coverage. Most lost coverage because of reporting problems, not because they stopped working. A federal judge shut the program down.
Now work requirements are coming back. Congress passed H.R. 1 in July 2025, adding the first-ever national Medicaid work requirements. Arkansas is soft-launching automated compliance checks on July 1, 2026, with no penalties. Full enforcement with benefit suspension begins January 1, 2027. If you do not comply within 30 days, your Medicaid is suspended.
Who This Affects
A home health aide in rural Arkansas, Southeast Arkansas
She works 35 hours a week caring for elderly patients but her employer does not offer insurance. She qualifies for Medicaid expansion. Under the new work requirements, she risks losing coverage if she misses a reporting deadline, even though she works every week. The last time Arkansas tried this, most people who lost coverage lost it because of paperwork, not because they stopped working.
Based on documented cases and public data.
The state also signed the Healthy Moms, Healthy Babies Act in 2025, adding presumptive Medicaid eligibility for pregnant Arkansans and a 70% increase in delivery and C-section reimbursement rates. That is real progress on maternal care. But it is happening at the same time the state is adding paperwork barriers to basic health coverage for everyone else.
LGBTQ rights
Arkansas was the first state in the nation to ban gender-affirming medical care for minors. Act 626 of 2021 (the SAFE Act) prohibits puberty blockers, hormone therapy, and related referrals for anyone under 18. The legislature overrode Governor Hutchinson’s veto to pass it.
The ACLU challenged the law in Brandt v. Rutledge. A federal judge blocked the law in 2023. Then in June 2025, the U.S. Supreme Court upheld Tennessee’s similar ban in United States v. Skrmetti. AG Tim Griffin asked the 8th Circuit to reconsider. On August 12, 2025, the 8th Circuit ruled 8-2 to uphold the SAFE Act.
What Arkansas passed
- 2021: First state to ban gender-affirming care for minors (Act 626)
- Legislature overrode the governor's veto to enact it
- Law bans puberty blockers, hormones, referrals, and insurance coverage for anyone under 18
If Congress Does Nothing
Griffin also joined 16 other attorneys general challenging a Biden-era rule that categorized gender dysphoria as a disability. That case is stayed while the Trump administration reconsiders the rule.
Tax cuts and government
Since 2023, Arkansas has cut income taxes four times, returning over $1.5 billion to taxpayers. In May 2026, the top individual rate dropped to 3.7% and the corporate rate to 4.1%. The revenue impact is $191.8 million in FY2027 and $144.8 million in FY2028. Americans for Prosperity launched a “Pathway to Zero” initiative to eliminate the state income tax entirely.
The Sanders administration’s Arkansas Forward initiative claims $300 million in cost savings over three years. State employees lost remote work privileges effective October 1, 2025. Government office hours were extended. Virtual meetings were discouraged.
The question is what disappears when revenue drops. Vouchers cost $309 million. Medicaid work requirements add administrative costs. Public school enrollment is falling. The math has to come from somewhere.
2026 elections
Sanders is seeking a second term. State Representative Fredrick Love won the Democratic nomination. In the U.S. Senate race, Tom Cotton faces farmer Hallie Shoffner, who won the Democratic primary with 78% of the vote. Democrats have not won a Senate election in Arkansas since 2008.
| Race | Candidates | Date |
|---|---|---|
| Governor | Sarah Huckabee Sanders (R) vs. Fredrick Love (D) | Nov. 3, 2026 |
| U.S. Senate | Tom Cotton (R) vs. Hallie Shoffner (D) | Nov. 3, 2026 |
These races are long shots. They still matter. A statewide campaign gives voters a public way to challenge voucher costs and Medicaid paperwork. Make candidates answer for the tradeoffs on a stage where the answers are harder to walk back than press releases.
Protect yourself right now
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Check your voter registration. Confirm your status and polling place before November 3 at your county clerk’s office.
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Track the Medicaid work requirement timeline. Automated checks start July 1, 2026. Enforcement starts January 1, 2027. If you or someone you know depends on Medicaid expansion, keep your contact information current with Arkansas DHS.
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Ask your school board about voucher impact. Your district lost students and funding this year. Ask where the money went and what positions were cut. School board meetings are public.
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Call your state legislators about the tax cuts. Ask them to explain how the state pays for $309 million in vouchers, Medicaid administration, and public services while cutting income tax revenue by $190 million per year. Find your legislator at the Arkansas Legislature.
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Know the SAFE Act ruling. The 8th Circuit upheld the ban. If you are a family affected by this law, the ACLU of Arkansas tracks the case and provides resources.
Show Up Locally
Unite & Rise for Voting Rights - LWV Arkansas
Voter Registration · League of Women Voters (LWV)
Little Rock, AR, 72201
On August 8, 2026, join the League and our partners as we host a nationwide day of civic action in honor of the anniversary of the Voting Rights Act of 1965. Leagues and partners will lead hundreds.
Unite & Rise for Voting Rights - LWV Little Rock
Town Hall · League of Women Voters (LWV)
Little Rock, AR, 72215
On August 8, 2026, join the League and our partners as we host a nationwide day of civic action in honor of the anniversary of the Voting Rights Act of 1965. Leagues and partners will lead hundreds.
What Changed Recently
She Was Working When They Cut Her Medicaid. Arkansas Proved Work Requirements Don't Work. Congress Is Imposing Them Anyway.
10.1 million people could lose Medicaid by 2028 under work requirements. 6 in 10 already work. Arkansas tried it first. 18,000 people lost coverage in 7 months. Employment did not increase. Congress is doing it nationwide.
Arkansas Proved Medicaid Work Requirements Don't Work. Congress Made Them National Law Anyway.
5.2 million adults will lose Medicaid by 2034 under new federal work requirements. Nebraska is already enforcing them. Here's what you can do.
Reproductive Rights Are Under Coordinated Federal and State Attack. Here Is Where Things Stand.
Abortion access is under coordinated federal and state attack. Planned Parenthood lost Medicaid funding. Title X is in limbo.
Arkansas Lost 8 Labor & Delivery Units Since 2020. Some Mothers Now Drive 48 Minutes.
Eight labor and delivery units have closed in Arkansas since 2020, leaving 29% of pregnant residents more than 30 minutes from a delivering hospital,
Eighteen States Spend Billions on Vouchers With Almost No Oversight
A state-by-state look at how private school voucher programs dodge the testing, audits, and civil rights rules that public schools follow
27 States Have Banned Gender-Affirming Care for Trans Youth. The Federal Government Wants to Make It Worse.
27 states banned gender-affirming care for trans youth. The federal government wants to expand the bans.
Voter Registration and Resources
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