The D.C. Circuit Court has ruled that work requirements, a Trump Administration policy priority, do not advance the primary purpose of Medicaid. Shifting Medicaid’s purpose from increasing health care coverage to a secondary objective like “encouraging a healthy workforce” was deemed inappropriate by conservative Judge David Sentelle. This decision upheld the ruling of lower courts on the same case last March. While Judge Sentelle’s ruling technically only applies to the Kentucky and Arkansas lawsuits, his opinion is likely to influence other states’ Medicaid reform efforts.

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