Patient groups seek White House Medicaid work

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- Trump's tax cut bill includes a Medicaid work requirement that will force beneficiaries to prove employment, schooling, or volunteer service to keep coverage.
- Federal officials must issue implementation guidance to states by June 1, with states required to have enforcement systems in place by Jan 1 2025.
- Sickle cell disease advocates have met with White House budget officials to demand automatic exemptions for patients from the work requirement.
- HIV advocacy groups are also lobbying for automatic exemptions, urging the administration to protect vulnerable patients as the rule rolls out.
Why it matters: Patients with sickle cell disease and HIV stand to retain coverage, while states must scramble to meet the June 1 guidance and Jan 1 rollout deadline, creating administrative hurdles.




