New rules will make it far harder to get Medicaid and stay covered

Damian Dovarganes/AP

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Medicaid leaders and advocates say they’re shocked by the Trump administration’s harsh directives for implementing Medicaid work requirements, which they say mark a pivot from how federal officials had characterized their plans just weeks ago.

Much of the conversation around the nearly 400-page rule that the Centers for Medicare and Medicaid Services released Monday afternoon centers on one of the ways that people can be exempted from work requirements: medical frailty. Getting that exemption will be more difficult than most people had expected, meaning that more sick and disabled people are likely to lose their Medicaid coverage.