Medicaid Work Requirements, Fraud Enforcement, Immigrant Benefit Cuts, and Provider Exclusion Ruling

CMS nationwide work requirements (80 hrs/month) start Jan 2027; litigation expected. New analysis projects 1.8M additional coverage losses. States already cutting Medicaid. Immigrant benefit cuts in Maine, Illinois Oct 1. New 'medically frail' rule challenged by 25 states. States turning to employers to fund Medicaid. Florida fraud crackdown. Iowa work requirements start Dec 1—32,000 could lose coverage. Minnesota fraud scheme shut down. Deloitte IT errors denied coverage. New Hampshire implements work requirements. Trump admin pauses over $1B Medicaid payments to CA and MN. States want to bring Medicaid behind bars but OBBB makes it harder. Kentucky using surplus to reverse cuts. Code for America guide for new work rules. NPHI urges hospice/palliative exemption. Trump admin's three rules seen as coordinated dismantling. North Carolina recertification guide. Idaho work requirements to begin Jan 1, 2027—strict 3-month lookback, 15,000+ could lose coverage. North Dakota implementing work requirements—23,000 expansion members, half exempt, 5,000-7,000 affected. Vermont releases official guide on federal Medicaid changes, covering immigrant eligibility cuts and work requirements. Foundational guide on Medicaid administration available. New: California Self-Determination Program for developmental disabilities detailed—state-specific Medicaid waiver.