The Trump administration's new Medicaid work requirement regulations, issued June 1, force states to scrap months of preparation and incur additional costs. The rules tighten medical frailty exemptions, requiring states to assess severity of conditions rather than relying on condition lists.
Nebraska, which launched its work requirement early, faces immediate challenges as it must now reassess all exemptions. The Congressional Budget Office estimates 3 million enrollees could lose coverage by 2034, with experts warning the new rules may increase that number.