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Lawsuit targets ‘medically frail’ Medicaid work requirement exemption

The challenge says the new rule makes medical-frailty exemptions too narrow and could add red tape that threatens coverage for people with serious conditions.

  • On Friday, Medicaid enrollees from five states and leading medical organizations filed a lawsuit in the District Court challenging new federal work requirement rules that restrict exemptions for medically frail people.
  • President Donald Trump signed the One Big Beautiful Bill Act last summer, establishing work requirements across 44 states; a federal rule issued in June defined 'medical frailty' exemptions that plaintiffs claim are too narrow.
  • Plaintiffs from Kentucky, Illinois, Indiana, Missouri, and North Carolina joined the American College of Physicians and other medical groups arguing that reporting burdens threaten coverage for people with HIV and complex behavioral disorders.
  • "We should not and must not be implementing policies that place this already vulnerable population at increased risk," said Jan K. Carney, president of the American College, echoing concerns from Columbus City Attorney Zach Klein.
  • Republicans argue requirements push people into the workforce, though Research shows most Medicaid recipients already work or attend school, and cities fear uncompensated costs when residents lose coverage.
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Kansas Reflector broke the news on Monday, September 21, 2026.
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