Democrats in half of states sue Trump administration over Medicaid work rules
The states say the rule adds paperwork hurdles and could cause eligible enrollees to lose coverage as work requirements approach.
- On Monday, attorneys general and governors from 25 states and the District of Columbia sued the Trump administration, challenging new Centers for Medicare and Medicaid Services guidance on Medicaid work requirements that plaintiffs argue creates harmful coverage barriers.
- Released earlier this month, the interim final rule narrows the 'medically frail' exemption established by the One Big Beautiful Bill Act of 2025, requiring conditions to 'significantly impair' an enrollee's ability to work.
- North Carolina Attorney General Jeff Jackson criticized the requirements as 'sloppy and haphazard,' noting state officials were blindsided by the definition, threatening coverage for patients receiving active medical treatment.
- Requesting a federal judge stay the interim final rule, the lawsuit targets HHS Secretary Robert F. Kennedy, Jr. and CMS Administrator Mehmet Oz, arguing it oversteps statutory protections for vulnerable populations.
- Approximately 18.5 million Medicaid enrollees face potential coverage loss as the January 1, 2027, deadline approaches, while states struggle to balance federal compliance with protecting eligible residents.
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138 Articles
Off the news: New Medicaid rules tilt against disabled | Honolulu Star-Advertiser
Hawaii, 24 other states and the District of Columbia sued the Trump administration (again) this week — this time for new, inconsistent and harmful guidelines for disabled people applying for Medicaid.
NC attorney general sues over Medicaid work requirements targeting state's sickest
RALEIGH, N.C. (WNCN) -- North Carolina Attorney General Jeff Jackson is suing a federal Medicaid agency trying to implement work requirements for the state’s sickest people, including patients living with stage four cancer or multiple sclerosis. “These are the sickest people in our state, so these are cancer, muscular dystrophy, cystic fibrosis, I mean, really [...]
New York, California Lead Lawsuit Against Trump Administration Over Medicaid Work Requirements - Real News Now
A coalition of 25 states and the District of Columbia has filed a lawsuit against the Trump administration over new Medicaid work requirements, arguing the rules unlawfully restrict access to healthcare coverage. The lawsuit challenges an Interim Final Rule issued by the Centers for Medicare and Medicaid Services that requires certain Medicaid recipients to provide documentation proving they qualify for exemptions from work requirements due to s…
States sue Trump administration over Medicaid work rule that could put sick patients at risk
A coalition of 25 states and Washington, D.C., says the federal rule creates paperwork barriers that could strip coverage from people with cancer, disabilities, mental health needs, and serious medical conditions.
States brace for new Medicaid ‘medically frail’ rule
State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medically frail” enough to get an exemption from new work requirements.
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