Rhode Island Attorney General Peter Neronha

25 Democratic-led states and the District of Columbia have sued the Trump administration over Medicaid work requirements, challenging new federal guidance that narrows the 'medically frail' exemption. The lawsuit argues the guidance makes it difficult for disabled and ill individuals to remain on Medicaid.

Twenty-five Democratic-led states and the District of Columbia sued the Trump administration over new Medicaid work requirements, arguing the federal guidance narrows the 'medically frail' exemption, making it harder for disabled and ill individuals to retain coverage. The lawsuit challenges the 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 40 states.