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Judge Rejects States’ Bid to Block Medicaid Work Rules
About 200 Nebraska enrollees are expected to lose coverage this week as states begin enforcing reporting rules for work, school or volunteering.
In Nebraska, Medicaid enrollees who fail to report 80 hours of monthly community engagement will begin losing coverage this week, as the state is the first to implement requirements ahead of the Jan. 1 deadline.
President Donald Trump signed the One Big Beautiful Bill Act last summer, requiring states that expanded Medicaid to mandate that adults work, volunteer, or attend school for at least 80 hours a month.
United States District Judge Richard Stearns of Massachusetts rejected a request from 25 Democratic-led states to halt implementation on Wednesday, noting CMS will reimburse 90% of costs associated with designing and executing the requirements.
The Urban Institute projects 3 million to 7 million people could lose coverage nationwide, while the American College of Physicians warned that rules push responsibility for medical exemptions onto already overburdened clinicians.
Robin Rudowitz, senior vice president at KFF, described a 'perfect storm' of tighter state budgets and looming midterm elections, warning that errors in this complex transition could trigger political backlash.