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The Trump administration on Monday released long-awaited Medicaid work requirements guidance for states, finalizing a rule that will affect healthcare access for millions of Americans — and create a roadmap for the beleagured state officials looking to operationalize Congress’ bedrock changes to the safety-net insurance program.

The CMS’ new interim final rule includes key definitions and standards that states have been waiting for, just seven months ahead of the deadline for Medicaid work requirements to go into effect.

On a call with reporters, CMS officials said the rule is the result of months of conversations with states and is a commonsense implementation of the work requirements passed in the GOP’s “Big Beautiful Bill” almost one year ago.

“We want the path of this process to be smooth and seamless, and CMS is using and leveraging its power to convene across government and industry to ensure that those on Medicaid achieve the lasting health from youth to old age that we aspire for,” Medicaid Director Dan Brillman said.