States gird for new Medicaid ‘medically frail’ rule

States are gearing up for potential coverage losses among their sick and disabled Medicaid enrollees as the Trump administration tightens the definition of "medically frail," which exempts individuals from new work requirements. This change could strip coverage from many who previously qualified for exemptions. The move is part of broader Medicaid policy shifts that follow the tax and spending law changes made under President Trump last year, raising alarms among state Medicaid agencies about the impact on vulnerable populations.