CMS defends its added medical-frailty test
Centers for Medicare & Medicaid ServicesFederal agency litigation position documented in the October 29 opinion
CMS argues that the statute leaves room to exclude some people within the listed subcategories from the medical-frailty exemption.
“Action: Defended the additional impairment test, arguing that the term medically frail need not cover every person within the statutory subcategories.”
Original text

Where this statement fits
States challenge CMS's medically frail exemption test; the agency defends its authority
States challenged CMS's requirement that medical frailty significantly impair a person's ability to meet Medicaid work requirements. CMS defended the test. An October 29 ruling struck that added condition while upholding two other challenged provisions.
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Original text
About this source
The court rejects CMS's additional impairment test, upholds two other challenged provisions and grants a limited enforcement stay.
Archived copy (opens in a new tab)Before the quotation
The plaintiff states challenge an added condition in CMS's medical-frailty definition.
After the quotation
The court rejects that interpretation and vacates the additional impairment requirement.
How this statement is classified
The label describes this statement's response within the context above.
Why this label?
The case concerns CMS's added exemption condition. The government defends it.
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More from this case
Read the full caseBonta calls the medical-frailty ruling a major victory
“People with serious illnesses or disabilities should not have to worry about losing their healthcare because of work requirements or related barriers. That’s not what Congress intended, and despite the Trump Administration’s cruel attempts to rip away healthcare from those in need, that’s not what the court held today.”Read statement
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The Dispute Index. "CMS defends its added medical-frailty test". First published: 2026-11-02. Last updated: 2026-11-02. https://disputeindex.com/events/7663-cms-argues-that-the-statute-leaves-room-to