States gird for new Medicaid ‘medically frail’ rule

The Trump administration has narrowed the definition of 'medically frail' for Medicaid exemptions from work requirements, requiring significant health conditions and impairment in work ability. States worry this change could lead to coverage loss for sick and disabled enrollees, prompting a lawsuit from 25 Democratic-led states. Medicaid agencies face challenges implementing the new guidelines, which add documentation hurdles for recipients.