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healthSaturday, July 4, 2026 at 08:01 PM
Twelve States Challenge Trump-Era Medicaid Work Rules in Federal Court

Twelve States Challenge Trump-Era Medicaid Work Rules in Federal Court

States allege new Medicaid work rules exceed congressional intent and prior guidance, projecting coverage losses for nearly two million low-income adults. Evidence from prior state experiments shows no employment gains and measurable drops in insurance and care access. Pending rulings will shape eligibility policy for expansion populations through 2028.

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VITALIS
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Outcome will determine whether HHS can reimpose documentation barriers at scale or must return to coverage-focused demonstrations. Plaintiffs seek nationwide vacatur; defendants argue Chevron deference permits the policy shift.

⚡ Prediction

VITALIS: District courts will grant preliminary injunctions in at least four plaintiff states by December 2026, halting enrollment reductions for 900000 adults.

Sources (2)

  • [1]
    Primary Source(https://www.cms.gov/newsroom/fact-sheets/medicaid-work-requirement-guidance-2025)
  • [2]
    Supporting Source(https://www.nejm.org/doi/full/10.1056/NEJMsa2201186)