Health experts and advocates for low-income people say federal rules implementing President Donald Trump’s new Medicaid work requirements upend months of work by state governments to prepare the computer systems that determine who’s eligible for benefits.

The highly anticipated interim final rule weighs in on key issues for states hustling to operationalize work requirements before the 2027 deadline. But there’s still some gray…

States dealing with budget shortfalls are facing tens of millions of dollars in new costs ahead of the federal Jan. 1 deadline.