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Health and Wellness

Rushed Medicaid work requirements create a lobbyist scramble

Last updated: May 12, 2026 1:55 am
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Rushed Medicaid work requirements create a lobbyist scramble
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WASHINGTON — Patient advocacy groups are actively seeking exemptions from the new Medicaid work requirements, but the rapid timeline for states to implement these changes is proving to be challenging.

Federal authorities have a deadline of June 1 to provide guidance to states on how to execute a component of President Trump’s tax cut legislation. This provision mandates that certain Medicaid recipients must demonstrate they are employed, enrolled in school, or volunteering to maintain their coverage. After the federal regulation is released, states are expected to have their systems operational by January 1.

Advocates for individuals with specific medical conditions have been engaging with federal officials, advocating for automatic exemptions from the work requirements for these patients. For instance, individuals with sickle cell disease recently met with White House budget officials to request such an exemption. Similarly, advocacy groups representing people with HIV are also campaigning for the same consideration.

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