Episode Details

Medicaid work requirements are set to hit states January 1st, forcing millions to clock 80 hours monthly—or risk losing coverage. A federal judge rejected 25 mostly Democratic-led states’ bid to halt the rule, citing Congress’s deadline and CMS’s promise to cover 90% of implementation costs. States argued the new “medically frail” exemption criteria unfairly excludes vulnerable populations and adds costly bureaucracy—but the judge found no proof of imminent harm. With 3–7 million potentially losing coverage now, and up to 10 million over the next decade, this ruling could reshape healthcare access for millions.

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