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Monday, October 26, 2026 · Updated 6:06 AM MT · 15 stories today
Mon, Oct 26 · 15 stories todayPRO
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LegalOctober 23, 2026

Boston Court Hears Challenge as States Prep Work Requirements

A federal judge in Boston heard arguments in a lawsuit challenging new Medicaid work requirements, while state Medicaid directors met separately in Maryland to plan implementation of the same rules. The two events underscore the uncertainty facing states as they build eligibility systems and reporting infrastructure for work requirements even as the legal basis for the policy remains contested. Directors are grappling with operational questions including verification processes, exemptions, and timelines, without clarity on whether litigation could pause or alter the requirements. No ruling was reported from the hearing.

Why it mattersState Medicaid agencies face the operational risk of building costly compliance infrastructure for work requirements that could be struck down or delayed by pending litigation.

Managed Care

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