华盛顿州法官叫停联邦医疗补助工作要求新规：多州联盟胜诉、苹果健康约190万人受影响
华盛顿州瑟斯顿县奥林匹亚市消息，2026年10月30日，美国马萨诸塞州联邦地区法院裁定，特朗普政府对医疗补助工作要求的实施方式违法，叫停了相关新规，为华盛顿州与今年6月提起诉讼的多州联盟赢得一场胜利。
法院认定，政府对「医疗脆弱」等关键术语的新解释违反法律，撤销了相关表述，发布永久禁令，并给予原告各州六个月的执行暂缓期，以处理实施调整可能出现的错误与延误。华盛顿州总检察长尼克·布朗表示，医疗补助是低收入美国人的安全网医疗项目，华盛顿州的苹果健康项目约覆盖190万人，包括无家可归者以及患有严重或复杂疾病的最脆弱人群。
争议源于2026年6月联邦医疗保险和医疗补助服务中心发布的「社区参与要求」临时最终规则，各州称该规则出人意料地改变了对医疗脆弱人群的豁免标准，使他们更难获得豁免。州政府表示，将继续捍卫医疗补助项目，反对以行政手段限制应享医疗保障。
来源：GSM·美国
Judge Blocks Federal Medicaid Work Requirement Rule: Washington and a Multistate Coalition Win, With Apple Health Covering About 1.9 Million People
In Olympia, Thurston County, Washington, a federal district court in Massachusetts ruled on October 30 that the Trump administration's implementation of new Medicaid work requirements was unlawful, blocking the rule and handing a victory to Washington and the multistate coalition that sued in June 2026.
The court held that the administration's new interpretation of key terms such as "medically frail" is contrary to law, vacated the language, issued a permanent injunction, and granted the plaintiff states a six-month stay of enforcement to accommodate errors or delays from the implementation changes. Washington Attorney General Nick Brown said Medicaid is the safety-net health program for low-income Americans, and Washington's Apple Health program covers approximately 1.9 million people, including people experiencing homelessness and those with serious or complex medical conditions.
The dispute stems from the Centers for Medicare and Medicaid Services' June 2026 interim final rule, the "Community Engagement Requirement," which the states say unexpectedly changed the exemption standards for medically frail people, making exemptions harder to obtain. The state said it will continue to defend Medicaid.
Source: GSM America
来源：GSM·美国（原文链接）
图片来源：图：华盛顿州议会大厦（奥林匹亚）。Martin Kraft摄，CC BY-SA 4.0，经Wikimedia Commons。 / Washington State Capitol in Olympia. Photo by Martin Kraft, CC BY-SA 4.0, via Wikimedia Commons.
