加州总检察长宣布胜诉：联邦法院撤销联邦政府收紧「医学脆弱」人群定义的新规并发布永久禁令
加利福尼亚州总检察长罗布·邦塔（Rob Bonta）宣布，加州等州在挑战联邦医疗补助（Medicaid）工作要求新规的诉讼中胜诉。美国马萨诸塞联邦地区法院裁定，联邦政府在一项临时最终规则中对「医学上脆弱」（medically frail）人群作出的新定义违法，撤销该定义文字，并发布永久禁令禁止其实施。
联邦法律为医疗补助工作要求设有豁免，身患重病或身体机能严重受限的「医学脆弱」人群不在强制工作之列。联邦卫生机构在新规中收紧了这一定义，被指将把大批重病参保人排除在豁免之外，面临失去医疗保障的风险。加州于2026年6月加入多州诉讼，挑战该定义。
法院同时给予原告各州六个月的执行暂缓期，以便各州调整其医疗补助工作要求的实施安排。
邦塔办公室表示，这一裁决维护了各州依法管理医疗补助项目的空间，也避免了最脆弱的参保人因定义之变而被卷入工作要求合规程序。
California: Attorney General Announces Court Victory as Federal Judge Vacates Narrowed 'Medically Frail' Definition in Medicaid Work Requirements Rule
California Attorney General Rob Bonta announced a court victory for California and its partner states in litigation over the federal Medicaid work requirements rule. The U.S. District Court for the District of Massachusetts held that the federal government's new definition of "medically frail" in an interim final rule is unlawful, vacated the definitional language, and issued a permanent injunction against its implementation.
Federal law exempts "medically frail" enrollees — people with serious illnesses or severe functional limitations — from Medicaid work requirements. The new federal definition narrowed that exemption, which the states argued would strip protection from large numbers of seriously ill enrollees and put their coverage at risk. California joined the multistate lawsuit in June 2026.
The court also granted the plaintiff states a six-month stay of implementation so states can adjust how they administer Medicaid work requirements.
Bonta's office said the ruling preserves the states' lawful role in administering Medicaid and keeps the most vulnerable enrollees from being swept into work-requirement compliance procedures by a change of definition.
来源：GSM·美国（原文链接）
图片来源：美国卫生与公众服务部大楼（资料图）。Wikimedia Commons，CC BY 2.0。 / U.S. Department of Health and Human Services building (file photo). Via Wikimedia Commons, CC BY 2.0.
