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Medicaid Work Rule Leaves Homeless People in the Cold

Federal rules could strip coverage from homeless enrollees who cannot document work, volunteering or school, with states facing a 30-day verification deadline.

  • Montana plans to begin removing Medicaid enrollees from coverage this October if they cannot prove compliance with new federal work requirements set by the Trump administration.
  • Trump finalized federal regulations requiring recipients to prove employment, education, or volunteer work to maintain benefits, with states mandated to begin implementing these checks by January.
  • Tywon Pugh, who is homeless and manages seizures, faces significant hurdles to prove eligibility, as federal rules do not consider homelessness an automatic medical exemption from work requirements.
  • The Congressional Budget Office projects requirements will increase the number of uninsured people by more than 5 million by 2034, while health centers worry about filling financial gaps.
  • In June, 25 mostly Democratic-led states sued Trump over the regulations, arguing the medical frailty standard remains too difficult for enrollees to meet and for states to assess.
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Hanford SentinelHanford Sentinel
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Medicaid work rule leaves homeless people in the cold

MISSOULA, Mont. — Tywon Pugh has seizures that make it hard to find and keep a job. “They called me a ‘liability to the job site,’” Pugh said, recalling the words of his manager when a seizure cost him his…

Catholic leaders warn that work demands in Medicaid can remove the coverage of fragile patients due to excessive government bureaucracy.

·Curitiba, Brazil
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ArcaMax Publishing broke the news on Wednesday, August 12, 2026.
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