A coalition of 25 states and the District of Columbia files suit in federal court in Massachusetts against the Trump administration, challenging a new rule from the Department of Health and Human Services and the Centers for Medicare and Medicaid Services that tightens Medicaid work requirements.The rule narrows the definition of medical frailty, requires many expansion enrollees aged 19 to 64 to show 80 hours a month of work, training, education or community service, and forces beneficiaries who claim frailty to document significant impairment with proof at renewal in 2028.Plaintiffs led by New York Attorney General
Letitia James say the policy contradicts prior federal guidance and Congressional intent under the One Big Beautiful Bill, will create administrative barriers that risk coverage loss for people with disabilities and serious health needs, and the Centers for Medicare and
Medicaid Services defends the rule as an anti-fraud measure while
HHS and
CMS do not immediately respond.