25 Democratic-led states sue Trump administration over Medicaid work requirements

25 Democratic-led states and the District of Columbia have sued the Trump administration over Medicaid work requirements, arguing the new federal guidance narrows the definition of 'medically frail' and makes it harder for disabled and ill individuals to remain on Medicaid. The lawsuit challenges the administration's implementation of work requirements under the One Big Beautiful Bill Act, which mandates 80 hours of monthly work or community service for Medicaid eligibility in expanded programs.