Judge blocks a rule that made sick Medicaid patients prove they could not work
A federal judge has blocked a restriction on medical exemptions from Medicaid’s new work requirements. The decision could help seriously ill people keep health coverage, but it leaves the underlying work requirements in place.
- The disputed hurdle: The administration required people with qualifying medical conditions to also show that those conditions significantly impaired their ability to meet the work rules. Judge Richard Stearns found that extra restriction unlawful.
- Who is affected: Medicaid provides coverage to people with low incomes. Starting January 1, 2027, many adult expansion enrollees must work or volunteer for 80 hours monthly, study at least half time, or qualify for an exemption.
- What stays in place: The judge upheld two other verification restrictions, including a limit on using medical evidence more than a year old. This was a partial victory for the states challenging the rules.
- Practical importance: The dispute concerns who qualifies for an exemption and how states document it. It does not mean every recipient is exempt or that the work requirement itself has been overturned.
