States gird for new Medicaid ‘medically frail’ rule

States are bracing for potential coverage losses among their sickest and most disabled Medicaid enrollees due to the Trump administration's stricter definition of who qualifies as "medically frail." This change could strip benefits from many who need them the most, as it narrows the exemption from new work requirements introduced by the tax and spending law last year. The shift has state Medicaid agencies worried, as it could lead to significant public health implications and increased strain on other social services. This move underscores the ongoing tension between federal policy changes and their local impacts.