The decision brings the Trump administration’s Medicaid overhaul closer to possible review from the Supreme Court
A federal appeals court on Friday ruled against Trump-approved Medicaid work requirements in Arkansas, the latest legal setback to the administration’s efforts to remake the safety net health care program.
The law “includes one primary purpose, which is providing health care coverage without any restriction geared to healthy outcomes, financial independence or transition to commercial coverage,” read the opinion from Judge David Sentelle, a Reagan appointee. Friday's appeals court decision also lashed the Trump administration for failing to account for how many Arkansans might lose coverage. In Arkansas, more than 18,000 people lost Medicaid coverage in 2018 as a result of the work rules, before they were invalidated by U.S. District Judge James Boasberg last year. Just a fraction of those enrollees rejoined the program while the rules were in effect, state data showed.
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