WASHINGTON — The Trump administration announced Friday that it is giving states an additional six months to begin enforcing Medicaid work requirements.
States have been racing to prepare their Medicaid systems by Jan. 1 to include the work requirements passed last year in the One Big Beautiful Bill. The legislation required states that expanded Medicaid after Democrats passed the Affordable Care Act to ensure all working-age recipients without dependent children are employed, in school, or volunteering at least 80 hours each month, unless they are disabled, caring for young children, or “medically frail.”
A federal judge recently rejected the federal government’s medical frailty definition and ruled that states did not have adequate time or resources to overhaul their eligibility systems.

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