The contested regulation required enrollees with disabilities, blindness, substance use disorders, or severe mental illnesses to prove their conditions directly impaired their ability to work. Starting on January 1, 2027, Medicaid expansion recipients aged 19 to 64 must still complete 80 monthly hours of work or community service, or attend school half-time, unless exempt. Although District Judge Richard Stearns halted the stricter impairment standard, his 16-page decision left the overarching work requirements in place. He also upheld two other challenged federal rules governing how states verify medical frailty.
Key points
States avoided costly overhauls to their eligibility systems after proving the challenged…: States avoided costly overhauls to their eligibility systems after proving the challenged policy caused irreparable administrative harm.
The ruling simplifies obtaining medical frailty exemptions without overturning the wider…: The ruling simplifies obtaining medical frailty exemptions without overturning the wider statutory Medicaid work requirements.
Federal authorities retained two other contested restrictions concerning how states verif…: Federal authorities retained two other contested restrictions concerning how states verify medical frailty exemptions among Medicaid recipients.
Sources checked by our analysis pipeline: 1
US District Judge Richard Stearns sided with 25 states and the District of Columbia which sued the administration.
A federal judge has ruled against enforcing a new rule by the administration of US President Donald Trump that would require chronically ill people on Medicaid, a public health insurance programme for low-income individuals, to prove themselves “medically frail” to qualify for work exemptions.
US District Judge Richard Stearns blocked the rule on Thursday, siding with 25 states and the District of Columbia, which had sued the Trump administration in June over the change, arguing that it unlawfully limits exemptions for people with serious medical conditions.
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