2026年7月1日 晚上7:48 美国东部时间 / 福克斯新闻频道
加利福尼亚州、纽约州、弗吉尼亚州等多个州正寻求紧急法院禁令
作者：邦妮·朱 福克斯新闻报道
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由蓝州及司法管辖区组成的联盟就旨在防范欺诈的新 Medicaid（医疗补助计划）工作要求起诉特朗普政府，称该政策非法限制了人们获得医保覆盖的途径。
这场诉讼由至少25个州和哥伦比亚特区提起，指控新实施的《临时最终规则》（IFR）——由医疗保险和医疗补助服务中心（CMS）发布——违反联邦法律，背离了国会最初意图以及CMS早期的指导方针。
该临时最终规则要求特定个人提供文件证明，他们因严重疾病而免于Medicaid要求参保者工作、志愿服务或上学的规定。
在该规则于6月初发布前，处境极度脆弱的Medicaid参保者本将自动免于此类要求。相关机构本可通过审查现有健康记录来批准这些豁免，无需在该要求于2027年1月生效前要求个人额外填写文书材料。
奥兹医生推出Medicaid改革方案 收紧针对非法移民的20亿美元拨款 要求健全人群参加工作
2026年6月2日周二，医疗保险和医疗补助服务中心署长穆罕默德·奥兹医生在与记者的新闻发布会上讨论了多项医疗议题。（亚伦·施瓦茨/CNP/彭博社 via 盖蒂图片社）
该诉讼将发布该临时最终规则的医疗保险和医疗补助服务中心署长穆罕默德·奥兹医生，以及卫生与公众服务部（HHS）部长小罗伯特·F·肯尼迪列为被告。
奥兹此前曾表示，此类保障措施旨在防止项目“因欺诈陷入混乱”，并补充称，领取美国纳税人资金的健全参保者应为社会做出贡献。
“如果你能工作，就应该站起来去工作，”奥兹说道。
“如果我们为这些项目设置保障措施，就能让它们蓬勃发展。我在这里是因为我热爱Medicaid。总统已经表示过他热爱并珍视Medicaid和医疗保险。……我们不能让这些项目因欺诈陷入无法自拔的混乱。如果我们热爱这些项目，就会做出艰难的决定。”
新规则将要求健全个人在享受免费医保覆盖的同时，每周工作20小时、参与志愿服务或进修学习。
福克斯新闻已联系白宫和卫生与公众服务部置评。
联邦审计、紧急Medicaid计划削弱民主党在非法移民医保覆盖问题上的立场
卫生与公众服务部部长小罗伯特·F·肯尼迪在接受采访时发言。
原告方包括加利福尼亚州、康涅狄格州、特拉华州、哥伦比亚特区、夏威夷州、伊利诺伊州、缅因州、马里兰州、马萨诸塞州、新泽西州、纽约州、俄勒冈州、罗德岛州、佛蒙特州、华盛顿州、亚利桑那州、科罗拉多州、密歇根州、明尼苏达州、内华达州、新墨西哥州、北卡罗来纳州、宾夕法尼亚州、弗吉尼亚州、威斯康星州和肯塔基州。
“残疾人士、正在接受癌症治疗的患者，或正在与其他严重或复杂健康状况作斗争的人，不应面临失去有助于维持其健康的护理的风险，”诉讼文件中写道。
共和党称赞《大型利好法案》中的Medicaid工作要求：“我们必须重返工作岗位”
根据诉讼文件，CMS自身的预测显示，仅在第一年就将有230万参保者失去Medicaid覆盖。
该文件还显示，该机构预测，7%的在职或符合豁免条件的参保者，会因文书要求令人困惑、截止日期严苛或缺失证明材料而失去医保覆盖。
从2028年开始，没有即时医疗记录存档的参保者将只能获得一次机会，提交一份“自我声明”表格，在伪证处罚下声明自己因病重无法工作。
根据此前的指导方针，参保者可根据自身医疗需求的变化多次使用自我声明。
诊所内的检查床。（美联社照片/马特·约克）
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此外，原告方表示，新规则将迫使各州放弃已经投入使用的自动化系统，转而构建更复杂、成本更高的人工审查流程。
随着8月31日向Medicaid参保者邮寄通知的截止日期临近，原告方正在寻求临时搁置令和初步禁令，以阻止CMS和卫生与公众服务部实施该规则。
邦妮·朱是福克斯新闻数字频道突发及热点新闻撰稿人
Coalition of 25 states sues Trump admin over Medicaid work rule designed to prevent fraud
July 1, 2026 7:48pm EDT / Fox News
California, New York, Virginia and several other states are seeking an emergency court order
By Bonny Chu Fox News
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A coalition of blue states and jurisdictions is suing the Trump administration over new Medicaid work requirements designed to prevent fraud, arguing the policy unlawfully restricts access to health care coverage.
The lawsuit, filed by at least 25 states and the District of Columbia, alleges the newly implemented Interim Final Rule (IFR) — issued by the Centers for Medicare & Medicaid Services (CMS) — violates federal law and departs from Congress’ original intent and early CMS guidance.
The IFR requires certain individuals to provide documentation proving they are exempt from Medicaid rules requiring enrollees to work, volunteer or attend school due to severe medical conditions.
Before the rule was issued in early June, highly vulnerable Medicaid recipients were set to be automatically exempt from such requirements. Agencies would have granted those exemptions by reviewing existing health records, without requiring individuals to complete additional paperwork ahead of the requirements taking effect in January 2027.
DR. OZ UNVEILS MEDICAID OVERHAUL, CLAMPS DOWN ON $2B FOR ILLEGAL IMMIGRANTS AND MANDATES WORK FOR ABLE-BODIED
Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, discussed a number of healthcare topics during a news conference with reporters on Tuesday, June 2, 2026.(Aaron Schwartz/CNP/Bloomberg via Getty Images)
The lawsuit names Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services (CMS), which issued the IFR, and Robert F. Kennedy Jr., secretary of Health and Human Services (HHS), as defendants.
Oz previously argued that such guardrails are designed to prevent programs from being “defrauded into a turmoil,” adding that able-bodied enrollees receiving American tax dollars should contribute to society.
“If you can work, you should get up and work,” Oz said.
“If we put guardrails around these programs, we’ll allow them to thrive. I’m here because I love Medicaid. The president has already said he loves and cherishes Medicaid and Medicare. … We cannot allow these programs to be defrauded into a turmoil that they cannot pull up from. If we love these programs, we will make the difficult decisions.”
The new rule would require able-bodied individuals to work 20 hours a week, volunteer, or pursue education while enrolled in free healthcare coverage.
Fox News reached out to the White House and HHS for comment.
FED AUDIT, EMERGENCY MEDICAID UNDERCUT DEMS ON ILLEGAL IMMIGRANT HEALTH COVERAGE
Health and Human Services Secretary Robert F. Kennedy Jr. speaks during an interview.
The plaintiffs involve California, Connecticut, Delaware, the District of Columbia, Hawaii, Illinois, Maine, Maryland, Massachusetts, New Jersey, New York, Oregon, Rhode Island, Vermont, Washington, Arizona, Colorado, Michigan, Minnesota, Nevada, New Mexico, North Carolina, Pennsylvania, Virginia, Wisconsin and Kentucky.
“People with disabilities, patients in the middle of cancer treatment, or those struggling with another serious or complex health condition, shouldn’t be at risk of losing the care that helps maintain their health,” the suit stated.
REPUBLICANS PRAISE ‘BIG, BEAUTIFUL BILL’S’ WORK REQUIREMENT FOR MEDICAID: ‘WE’VE GOT TO GET BACK TO WORK’
According to the suit, CMS’s own projections estimate that 2.3 million enrollees will lose Medicaid coverage in the first year alone.
The agency also estimates that 7% of enrollees who are working or qualify for an exemption will lose coverage due to confusing paperwork requirements, strict deadlines or missing documentation, according to the document.
Beginning in 2028, enrollees who do not have immediate medical records on file would be limited to a single opportunity to submit a “self-attestation” form declaring, under penalty of perjury, that they are too sick to work.
Under previous guidance, enrollees were allowed to use self-attestation multiple times as their medical needs evolved.
An examination bed sits inside a medical clinic.(AP Photo/Matt York)
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In addition, plaintiffs said the new rules would force states to abandon automated systems they have already invested in and instead build more complex and costly manual review processes.
As the Aug. 31 deadline to mail notices to Medicaid enrollees approaches, the plaintiffs are seeking a temporary stay and a preliminary injunction to block CMS and HHS from enforcing the rules.
Bonny Chu is a Breaking and Trending News Writer for Fox News Digital
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