Medicaid eligibility and medical frailty

When Congress included major reductions in Medicaid eligibility in last year’s budget reconciliation bill – H.R. 1, often referred to as the “One Big Beautiful Bill Act” – it included one criterion for Medicaid eligibility that immediately proved challenging.  While the new law requires individuals to work or participate in “community engagement” activities such as attending school or performing volunteer work” as a condition of Medicaid eligibility, it offered an exception to this requirement:  those found to be “medically frail.” The law, however, did little to define what constitutes medical frailty beyond defining as medically frail those who are blind [...]