Centers for Medicare and Medicaid Services (CMS)

Rural residents in states using the ACA Marketplace are losing health insurance coverage at higher rates than urban and suburban counterparts, with a 12% drop in nonmetropolitan county enrollments. The expiration of enhanced subsidies under the American Rescue Plan and Inflation Reduction Acts, not renewed in a GOP budget bill, has led to increased premiums and coverage losses, particularly in rural areas.

25 Democratic-led states and the District of Columbia have sued the Trump administration over new Medicaid work requirements. The lawsuit challenges federal guidance that narrows the definition of 'medically frail,' which the states argue makes it harder for disabled or ill individuals to remain on Medicaid.

Democrats in 25 states and the District of Columbia sued the Trump administration over Medicaid work requirements, arguing the rules will create barriers to healthcare access. The lawsuit claims the Trump administration's interpretation of medical exemptions, including stricter definitions of 'medically frail,' will harm vulnerable groups like those with disabilities or serious health conditions.

Turning 65 can trigger a targeting event where insurance marketers, Medicare agents, and scammers may contact individuals with personalized information. Data brokers collect and package personal information, creating age-based lists tied to major life events like Medicare enrollment and Social Security decisions. This can lead to aggressive sales tactics and fraudulent activities.

A federal judge ruled against Minnesota's challenge to the Trump administration's Medicaid funding deferral, allowing the White House to withhold $259 million from the state amid an anti-fraud campaign. The decision supports the administration's broader effort to combat Medicaid fraud, citing a $250 million fraud scandal in Minnesota as a key justification.