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July 14, 2026Mental Health Weekly0 citations

States sue over Medicaid rule narrowing protections for medically frail

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VCValerie A. Canady

Key Points

  • The lawsuit aims to contest a new Medicaid rule that may restrict health care access for medically frail individuals.
  • Filed by multiple states on June 29
  • Targets an interim final rule by HHS and CMS
  • Focuses on exempting beneficiaries from work requirements
  • Alleges potential loss of coverage for individuals with serious mental illnesses and substance use disorders
  • Highlights risks posed by the new work requirements
  • Calls into question the adequacy of exemptions provided by the rule

Abstract

A multistate lawsuit filed June 29 alleges that a Trump administration rule implementing new Medicaid work requirements could jeopardize health care coverage for some individuals with serious mental illnesses, substance use disorders and other complex health conditions. The challenge targets an interim final rule issued by the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) that outlines how states must determine whether beneficiaries qualify for exemptions from the work requirements.

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Cite This Study

Valerie A. Canady (2026) studied this question.

synapsesocial.com/papers/6a55d16e5aafca87247f865ahttps://doi.org/10.1002/mhw.34927
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