Medicaid work requirements face legal and compliance challenges as states warn of coverage losses, administrative burdens, and unclear federal guidance that could jeopardize vulnerable enrollees and strain safety net systems.
A coalition of Democratic-led states has filed lawsuits challenging the Trump administration’s interim final rule (IFR) for implementing new Medicaid work requirements, arguing that the rules unlawfully restrict exemptions and could jeopardize health coverage for vulnerable residents.
The states contend that the administration’s guidelines make it too difficult
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