Trump Administration Announces Stricter Rules for Medicaid Work Requirement By tightening an exception for people with serious illnesses, more of them may lose coverage. Mehmet Oz, President Trump and Robert F. Kennedy Jr. are reshaping Medicaid rules. Credit...Doug Mills/The New York Times June 1, 2026, 9:35 p.m. ET A new rule by the Trump administration could make it even harder for millions of sick Americans to obtain or stay on Medicaid after work requirements start next year.