INDIANA — Healthcare advocates are warning of a major healthcare crisis in Indiana following a newly finalized, nearly 400-page rule issued by the Centers for Medicare & Medicaid Services (CMS). The federal guidance details a much more restrictive definition of “medical frailty” than expected, potentially stripping health coverage from hundreds of thousands of Hoosiers.
The new federal rule establishes the framework for sweeping Medicaid work mandates created under last year’s federal budget reconciliation law, known as the One Big Beautiful Bill Act.
Set to take effect nationwide on January 1, 2027, the mandates require non-disabled adult Medicaid enrollees ages 19 to 64 to prove they are working, volunteering, or enrolled in school for at least 80 hours a month…