U.S. News

JUDGE BLOCKS MEDICAID RULE THAT FORCED SICK PATIENTS TO PROVE THEY CAN'T WORK

A federal judge has blocked a Trump administration rule that required Medicaid recipients in medical-frailty categories to prove their condition keeps them from meeting new work requirements.

ONOrbit News NetworkOct 31, 2026 · 3 min read
The U.S. Capitol in Washington
The U.S. Capitol (file photo). Photo via Wikimedia Commons.

U.S. District Judge Richard G. Stearns blocked a Centers for Medicare and Medicaid Services rule that required Medicaid beneficiaries in medical-frailty categories to prove their condition impairs their ability to meet new work requirements.

The ruling came in a case brought by 25 states and Washington, D.C., which argued the rule unlawfully narrowed the medical-frailty exemption Congress established.

Under the broader requirements, certain Medicaid beneficiaries aged 19 to 64 must engage in qualifying activities — employment, community service or work programs — for 80 hours per month, make at least $580 monthly, or be enrolled at least half-time in education, starting January 1.

The ruling does not overturn the broader Medicaid work requirements enacted under H.R.1, but it preserves the wider medical-frailty exemption for now.

The decision lands days before the midterm elections, in which health care costs and Medicaid rules have been a central issue.

Reporting: Healio

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