A federal judge declined on July 29 to pause the rule that determines which Medicaid enrollees can be excused from work requirements on medical grounds. For people managing serious chronic illness, the documentation process is now going forward, and the first state mailings are due within four weeks.
States must notify enrollees about the changes by August 31, 2026. Requirements take effect January 1, 2027, in most states, with several already running them.
