{"$schema": "https://iptc.org/std/ninjs/ninjs-schema_3.2.json", "uri": "urn:newsml:wireva.mib.news:item:f7bce0c5-bfaf-4a91-9259-6d837f2a0c80", "type": "text", "profile": "update", "version": "1", "versioncreated": "2026-09-27T01:04:56.234881Z", "firstcreated": "2026-09-27T01:00:12.429183Z", "pubstatus": "usable", "urgency": 5, "language": "en", "headline": "Medicaid Work Rules Start in January as Six GOP States Demand Proof of Medical Frailty", "byline": "Audrey Baxter", "located": "United States", "copyrightholder": "Haydamax OÜ", "copyrightnotice": "Wireva / Boldest Voice", "usageterms": "Subscribers may republish this item in full, including translation and trimming, with the credit “Wireva / Boldest Voice”. Set rel=canonical to https://boldestvoice.com/politics/medicaid-work-rules-start-in-january-as-six-gop-states-demand-proof-of-medical-frailty/ when publishing on the web.", "description_text": "Federal work requirements for up to 20 million Medicaid expansion enrollees begin in January, and at least six Republican-led states will require immediate documentation to prove medical frailty, going beyond what the law demands. Democrats in 25 states are suing, while the Congressional Budget Office projects 7.5 million fewer insured and $887 billion in federal savings over a decade.", "altids": {"mosaic": "f7bce0c5-bfaf-4a91-9259-6d837f2a0c80", "story": "1a204c51-960a-4c77-a1d3-4b1a7fe32885", "slug": "medicaid-work-rules-start-in-january-as-six-gop-states-demand-proof-of-medical-frailty"}, "subject": [{"name": "Economy and business", "rel": "direct", "literal": "economy", "code": "medtop:04000000", "scheme": "http://cv.iptc.org/newscodes/mediatopic/", "uri": "http://cv.iptc.org/newscodes/mediatopic/04000000"}], "place": [{"name": "United States", "literal": "us", "code": "US", "scheme": "http://cv.iptc.org/newscodes/countrycodes/"}], "person": [], "organisation": [], "genre": [{"name": "Updated story", "literal": "update"}], "service": [{"name": "Wireva", "literal": "wireva"}], "associations": {"featuremedia": {"uri": "urn:newsml:wireva.mib.news:media:4a1d596a-20e5-4ed6-bfbd-d7c772f8806d", "type": "picture", "version": "1", "pubstatus": "usable", "headline": "Trump’s new Medicaid rules will kick in, and GOP states are tougher. Someone may be too frail to work but can’t afford to see a doctor to prove it", "description_text": "Medicaid Work Rules Start in January as Six GOP States Demand Proof of Medical Frailty", "copyrightholder": "fortune.com", "copyrightnotice": "Trump’s new Medicaid rules will kick in, and GOP states are tougher. Someone may be too frail to work but can’t afford to see a doctor to prove it", "usageterms": "Picture belongs to the source publication: address and terms are delivered, the file is not.", "altids": {"wireva": "4a1d596a-20e5-4ed6-bfbd-d7c772f8806d"}, "extra": {"wireva:delivery_mode": "link_only", "wireva:rights": {"licence": "", "licence_url": "", "licence_raw": "RSS source", "licence_verified_at": "2026-09-27T01:04:56.411389Z", "attribution_required": true, "attribution_text": "Trump’s new Medicaid rules will kick in, and GOP states are tougher. 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