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 new Medicaid work requirements, arguing the federal guidance narrows the definition of 'medically frail' and makes it harder for disabled or ill individuals to remain on Medicaid. The lawsuit challenges the implementation of work rules under the One Big Beautiful Bill Act, which requires Medicaid recipients in 40 states to work or engage in community service for 80 hours monthly.