U.S. District Judge Richard Stearns in Boston issued an order on October 29, 2026 that stops a Trump administration guidance requiring Medicaid recipients to prove medical frailty to qualify for work‑exemption eligibility.
The guidance would have forced chronically ill Medicaid beneficiaries to demonstrate frailty in order to receive exemptions from new work requirements. A coalition of 25 states sued over the policy, leading to the judge’s injunction.
