Federal court judges sharply question Medicaid work requirements

A federal appeals court last week sharply questioned the Trump administration’s work requirements for Medicaid recipients, casting doubt on a key part of a governmentwide effort to place conditions on low-income people seeking taxpayer-financed assistance (Source: “U.S. appeals court skeptical of Trump’s Medicaid work rules,” Associated Press, Oct. 11, 2019).

All three judges on a panel of the U.S. Court of Appeals for the District of Columbia Circuit lobbed hard questions at a Justice Department lawyer defending the policy at a hearing. The administration is appealing after losing the first round before a lower court.

At issue is whether a program created by Congress to provide medical care to the poor can also encourage low-income people to try to move up in society and make that a condition for them to keep getting help.

Attend HPIO's 2025 Health Policy Summit on Oct. 9, 2025

With limited resources and growing need, investing in policies that deliver the greatest impact is essential. This event will highlight strategies that improve health and wellbeing while reducing healthcare spending. Speakers will provide evidence-informed research responsive to today’s political climate, focusing on what works and why it matters now more than ever.

Register now