The Trump administration's new Medicaid work rules force states to overhaul systems and tighten medical exemptions, risking coverage for millions. Key facts: The rules require states to assess severity of medical conditions for exemptions, not just diagnosis.
Nebraska, which launched work requirements early, must now revise its 300-page list of qualifying conditions. The Congressional Budget Office estimates 3 million enrollees could lose coverage by 2034.
States face costly reprogramming of eligibility systems, with contractors like Deloitte and Accenture offering discounts. The changes take effect next year, with some states already implementing requirements.