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Top Dems: CMS Must Give States More Time on Medicaid Work Rules

The lawmakers said states need more time and urged CMS to approve good-faith exemptions as 10 million people could lose coverage, according to the Congressional Budget Office.

  • On Thursday, House Energy and Commerce Committee ranking member Frank Pallone and Senate Finance Committee ranking member Ron Wyden urged the Trump Administration to delay Medicaid work requirements, arguing states lack sufficient time before the January 1 deadline.
  • Republicans included Medicaid changes in the "big, beautiful" law passed in 2025, mandating that enrollees aged 19 to 65 work 80 hours monthly, with exceptions for groups including those previously in foster care under age 26.
  • West Virginia officials reported that 40,000 of the state's 160,000 Medicaid enrollees could lose coverage, while Pallone and Wyden challenged the CMS definition of "medically frail," noting a cancer diagnosis might not meet the criteria.
  • The two lawmakers called on Medicaid Services Administrator Mehmet Oz to approve "good faith exemptions" for states, writing that "access to health care hangs in the balance" amid ongoing legal challenges.
  • A July 2025 Congressional Budget Office report projected 10 million people could lose healthcare access under the law's changes, and Democrats warned they will hold the Trump Administration accountable for preventable coverage losses.
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States need more time to prep for Medicaid work requirements, top Dems in Congress say

WASHINGTON — Two top Democrats in Congress are calling on the Trump administration to delay new requirements for people on Medicaid, arguing there is not enough time for states to prepare before the change takes effect on Jan. 1. House Energy and Commerce Committee ranking member Frank Pallone Jr., of New Jersey, and Senate Finance […]

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mainemorningstar.com broke the news on Thursday, November 12, 2026.
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