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Doctors Concerned About Medicaid Work Rule

The ruling keeps 80-hour monthly work or community service requirements on track, while states must still build verification systems before the January deadline.

  • On Thursday, U.S. District Judge Richard Stearns denied a preliminary injunction to halt the Trump administration's Medicaid work requirements, allowing the stricter rules to proceed toward their January 1 implementation deadline.
  • To retain Medicaid coverage, recipients without young children must complete 80 hours of work or approved activities monthly unless they obtain a 'medically frail' classification, a standard critics argue creates excessive administrative burdens.
  • Democratic states and the American Medical Association challenged the rule, with the medical group warning that verification paperwork diverts time from critical patient care and delays treatment schedules.
  • Stearns noted the federal government covers 90 percent of state implementation costs, concluding financial and operational concerns did not meet the high legal threshold required to pause the policy.
  • States must communicate the changes to enrollees by the end of August, though opponents retain the option to return to court if fresh evidence of operational harm emerges before implementation.
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Mason City Globe GazetteMason City Globe Gazette
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Doctors concerned about Medicaid work rule

Alice Thornton has spent more than two decades treating people living with HIV in Lexington, Kentucky.

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The Daily Progress broke the news on Thursday, July 30, 2026.
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