Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems
CMS says a serious medical condition alone will not qualify beneficiaries for the exemption and requires states to verify how illness affects work ability.
- The Centers for Medicare & Medicaid Services released new regulations on June 1 requiring stricter documentation for 'medically frail' Medicaid exemptions, mandating individuals prove their condition significantly limits their ability to work before Jan. 1, 2027.
- For months, states prepared systems based on self-attestation, but these federal rules force a 'significant policy pivot,' according to Manatt Health partner Kinda Serafi, requiring costly administrative re-evaluations.
- Nebraska officials must now reassess how to determine if enrollees are too sick to work, having released a nearly 300-page list of exemptions including cancer, dementia, autism, epilepsy, HIV, and Parkinson's disease.
- Despite promised discounts from contractors Deloitte, Accenture, and Optum, upgrading eligibility systems imposes new costs; Heather Howard, director of State Health and Value Strategies, noted discounts 'are not going to be helpful across the board.'
- Roughly 18.5 million adults could be required to prove they are working under the One Big Beautiful Bill Act, while the Congressional Budget Office estimates 5.3 million enrollees could lose Medicaid coverage by 2034.
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Helena Independent Record
Montana DPHHS moving forward with July 1 work requirement start date despite questions
The Trump administration's change to the "medically frail" definition could mean people with serious medical conditions have a harder time proving that they should be exempt from Medicaid work requirements.
Trump’s Medicaid Work Rules Force States To Scrap Plans and Rework Systems
This story was originally published by KFF Health News. The Trump administration’s rollout of a federal mandate that millions of Americans on Medicaid must work or risk losing health benefits will force states to scrap months of preparation, according to advocates for Medicaid enrollees and consultants advising states. And they say an overhaul — less than seven months before states must start enforcing the requirement — will be costly. Regulatio…
Trump’s Cruel Medicaid Work Requirements: Can States Mitigate the Damage?
Photograph by Nathaniel St. Clair The Trump administration’s appetite for cruelty and its wanton disregard for wasting taxpayer funds has shown itself again – this time in its proposed regulations for implementing the One Big Beautiful Bill Act’s (OBBBA) Medicaid eligibility requirements. But as new details emerge, there are some possible ways that states could protect eligible populations from losing health care. The proposed regulations, which…
Medicaid work requirements set, with stricter medical frailty guidelines; critics push back
By Melissa Patrick Kentucky Health News The Centers for Medicare & Medicaid Services launched its framework for Medicaid work requirements on Monday, June 1, which are now required under HR-1, or the federal One Big Beautiful Bill Act. The interim final rule, which allows the regulation to take effect immediately upon publication without first seeking public comment, requires that certain adult Medicaid applicants and enrollees must, as a condit…
States face tight timeline as feds unveil new Medicaid work requirement rules
NC NEWSLINE - The federal government released new guidance this week on how states should roll out the Medicaid work requirements that will affect healthcare coverage for millions of Americans. The new interim rule, issued by the federal Centers for Medicare & Medicaid Services, is intended to give states more details on how they’re supposed to verify the work status for about 20 million adults enrolled in Medicaid, the publicly funded health i…
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