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CMS, states face difficult choices on Medicaid expansion, work requirements
Modern Healthcare

The Trump administration and many states face a complex set of policy decisions in the wake of a federal judge’s decision vacating Medicaid work requirement waivers in Kentucky and Arkansas.

In his paired rulings last week, U.S. District Judge James Boasberg in Washington, D.C., struck at a centerpiece of the administration’s health policy when he ruled that HHS Secretary Alex Azar exceeded his discretionary authority in approving waivers that could lead to tens of thousands of people losing Medicaid coverage. The secretary did not adequately consider the coverage impact, given that the objective of the Medicaid Act is to provide coverage, he wrote.