The Trump Administration Makes It Harder for some Sick Americans to Maintain Medicaid
CMS will require sick enrollees to show their condition limits work compliance, and 5.3 million more people could be uninsured by 2034, the CBO said.
- On Monday, the Centers for Medicare and Medicaid Services issued a rule tightening medical frailty exemptions for Medicaid work requirements, requiring enrollees to prove their health condition "significantly impairs" their ability to comply with the 80-hour monthly mandate.
- Dr. Mehmet Oz, who oversees CMS, linked the rule to program integrity, stating the administration is "forgiving but we're not foolish," while the One Big Beautiful Bill Act requires Medicaid expansion enrollees ages 19 to 64 to work 80 hours monthly unless exempt.
- A coalition of 48 patient organizations, including the American Lung Association, argued the interpretation "clearly conflicts" with the One Big Beautiful Bill Act, while Jennifer Hoque of the American Cancer Society Cancer Action Network warned patients fighting cancer face "insurmountable obstacles."
- Starting in 2028, CMS will limit self-attestation for exemptions, creating a "two-step hurdle" for state agencies; Jocelyn Guyer of Manatt Health warned the policy imposes "massive paperwork burdens" that could cause catastrophic coverage loss.
- Brian Blase of the Paragon Health Institute supported the rule, stating it "strikes the appropriate balance" regarding integrity, while states like Nebraska, which launched mandates last month, must now conform to the new requirements despite tight implementation deadlines.
15 Articles
15 Articles
Medicaid work requirements threaten coverage for millions as Trump escalates class war on the poor
The Congressional Budget Office estimates that the work requirement provisions in Trump’s One Big Beautiful Bill will reduce federal Medicaid spending by $326 billion over 10 years—the single largest source of savings in the legislation—and strip coverage from an estimated 5.2 million adults by 2034.
Cancer Patients Must Now Prove They Are Too Ill to Work or Lose Their Medicaid Coverage Under New Trump Rules
Cancer patients on Medicaid must now prove their illness is severe enough to prevent them from working or risk losing the health coverage that funds their treatment. On 1 June 2026, the Centers for Medicare and Medicaid Services (CMS) released an interim final rule implementing the Medicaid work requirements written into the One Big Beautiful Bill Act, signed into law in July 2025. Under the rule, most non-exempt adults aged 19 to 64 enrolled in…
Millions of sick Americans may have more difficulty retaining—or even enrolling—Medicaid coverage after the first federal labor requirement in most states comes into effect in January.
Trump’s new Medicaid work rules erect barriers that sick Americans can't climb
The promise was rock solid, lawmakers insisted. No cancer patient would lose coverage. The medically frail would be protected. The work requirements applied only to able-bodied adults who choose not to work. The promise was a lie. The Trump administration released its 400-page rule for Medicaid work requirements Monday, and the fine print reads likeContinue reading "Trump’s new Medicaid work rules erect barriers that sick Americans can’t climb" …
Medicaid work requirement update stokes new coverage fears
Medicaid work requirement update stokes new coverage fears mps-post Sat, 06/06/2026 - 05:00 Image (Minnesota News Connection) Audio file Minnesota has new federal guidelines for pending changes to Medicaid work requirements, with stricter rules formally set to take effect January 1.The rules, pushed by Republicans, require recipients without an exemption to work 80 hours a month through employment, education or community service. States are …
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