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Judge blocks Medicaid rule requiring chronically ill recipients to prove frailty

Associated Press reports a federal judge in Boston partly sided with 25 states and the District of Columbia against a stricter Medicaid frailty rule.

The short version

  • A federal judge in Boston blocked a Trump administration rule requiring chronically ill Medicaid recipients to prove frailty to qualify for work-requirement exemptions.[Associated Press]
  • U.S. District Judge Richard Stearns partly ruled for 25 states and the District of Columbia, which sued in June over CMS guidance tied to the One Big Beautiful Bill.[Associated Press]
  • Stearns upheld two other federal limits on verifying frailty, including rejecting diagnoses more than a year old.[Associated Press]
  • Expansion enrollees aged 19 to 64 must meet work or school requirements starting Jan. 1, according to the reporting.[Associated Press]

Key facts

  • A federal judge in Boston blocked a Trump administration rule requiring chronically ill Medicaid recipients to prove frailty to qualify for work-requirement exemptions.[Associated Press]
  • U.S. District Judge Richard Stearns in Boston gave a partial victory to a coalition of 25 states and the District of Columbia.[Associated Press]
  • The coalition sued the Trump administration in June over new CMS guidance linked to the 2025 law known as the One Big Beautiful Bill.[Associated Press]
  • Starting Jan. 1, expansion enrollees aged 19 to 64 must show work or community service of at least 80 hours a month, or school attendance at least half the time.[Associated Press]
  • Stearns upheld two other federal restrictions on verifying medical frailty, including rejecting proof when the diagnosis is more than a year old.[Associated Press]

What remains uncertain

  • The reporting does not say whether the Trump administration will appeal the ruling or how states will implement it.[Associated Press]

Sources

Outlet counts describe coverage, not independent confirmation. Reports may share a wire service or original source.