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New Medicaid federal work requirements mean less leeway for states

The federal law includes an 80-hour-per-month minimum for work or education, with exemptions for certain adults, including people who are medically frail and parents with young, dependent children.

U.S. President Donald Trump bangs a gavel after signing the “Big Beautiful Bill” during a Fourth of July celebration event on the South Lawn at the White House in Washington, D.C., on July 4, 2025. (Yuri Gripas/Abaca Press/TNS)
U.S. President Donald Trump bangs a gavel after signing the “Big Beautiful Bill” during a Fourth of July celebration event on the South Lawn at the White House in Washington, D.C., on July 4, 2025. (Yuri Gripas/Abaca Press/TNS)
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States that jumped ahead need to ensure their proposals don’t stray too far,

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