Feb 14, 2020 - Health

Appeals court rules against Trump's Medicaid work requirements

Illustration: Sarah Grillo/Axios

The Trump administration violated federal law by allowing red states to impose work requirements on their Medicaid programs, a federal appeals court ruled Friday. The court said the administration had not properly justified its decision, and that it was out of step with Medicaid's statutory goals.

What's next: The most likely next step is an appeal to the Supreme Court. In the meantime, the administration has not won a single favorable ruling in lawsuits over what had once looked like one of its most significant health care policies.

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Trump's selective urgency at the Supreme Court

Photo: Samuel Corum/Getty Images

The Trump administration has consistently tried to get controversial cases in front of the Supreme Court as quickly as possible — but not when that might have meant striking down the entire Affordable Care Act before the 2020 election.

Why it matters: Trump’s Justice Department has tried to leapfrog the traditional process far more than its predecessors did, and at least one Supreme Court justice seems to be worried that it’s affecting the court’s work.

Go deeperArrowJan 23, 2020

Trump vs. Medicaid

Illustration: Sarah Grillo/Axios

It may not get the most attention, but Medicaid is the prime target of the Trump administration’s health care agenda.

Why it matters: Medicaid covers about 70 million people — more than Medicare. It’s the biggest item in many states’ budgets. It is a huge part of the health care system, and the Trump administration has been fully committed, since day one, to shrinking it.

Hospitals and Medicaid enrollees lose under Trump's budget

Illustration: Aïda Amer/Axios

President Trump's 2021 budget proposes massive reductions in Medicare and Medicaid spending, which would be felt most acutely by hospitals and Medicaid beneficiaries.

Why it matters: Budget proposals are more about messaging than policies that have any chance of becoming law, but it's still a good indication of the direction the administration would like to head in if Trump wins re-election.

Go deeperArrowFeb 11, 2020 - Health