States gird for new Medicaid ‘medically frail’ rule

By: Shalina Chatlani

Outlets: Stateline

Published: July 1, 2026

Words: 989

Last Updated: 3 weeks ago

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State Medicaid agencies are concerned that many sick and disabled enrollees will lose their coverage because the Trump administration is narrowing the definition of who is “medically frail” enough to get an exemption from new work requirements.

Under the tax and spending law President Donald Trump signed a year ago, states that have expanded Medicaid to cover more adults under the Affordable Care Act — 40 states plus the District of Columbia — must mandate …

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