B1June 29, 2026·2 min read·277 words·6 vocab words·Source: The Hill

Coalition of States Sues US Government Over Medicaid Rules

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Coalition of States Sues US Government Over Medicaid Rules
Photo: The Hill
In brief

A coalition of twenty-five states and the District of Columbia has sued the Trump administration. They filed the lawsuit on Monday in Massachusetts to block a new Medicaid rule. Starting in January, the rule requires beneficiaries to work or study for eighty hours a month. Although the law protects medically frail individuals, the administration has narrowed this definition. States fear that vulnerable patients, including cancer patients, will lose vital healthcare.

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A of twenty-five states and the District of Columbia has filed a lawsuit against the Trump administration. They submitted the legal challenge on Monday in a federal district court that is located in Massachusetts. The lawsuit targets a new rule that changes work requirements for people who receive Medicaid healthcare coverage. According to the rule, most beneficiaries must work or study for eighty hours every single month. GOP lawmakers support the policy because they want to reduce waste and abuse in the program. However, the law has always included an exemption for citizens who are medically frail. The states are angry because the government has recently narrowed this definition of medical frailty. Under the new guidelines, people must prove that their sickness prevents them from doing any work. As a result, vulnerable patients might have to jump through many difficult administrative hoops. If they cannot complete the complicated paperwork, they will lose their healthcare benefits. States discussed the plans with officials for months before the new rule surprised them. In addition, many individuals who are currently studying might lose their coverage under the new rule. These students need healthcare so they can finish their education and find good jobs. They argue that people with serious illnesses like cancer should not worry about losing their care. The states believe that Congress wanted to write a very broad law to help everyone. Therefore, the has decided to sue the government in order to protect these citizens. If the court does not stop the rule, the new requirements will start in January. Many people may lose access to the doctors and medicine that keep them healthy.

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Take a position. Out loud, if you can.

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Comprehension
Question 1 of 3

Which court received the lawsuit on Monday?

Grammar spotlight

Present Perfect

One point · B1

The present perfect (has/have + past participle) connects a past action to the present.

From this article

A coalition of twenty-five states and the District of Columbia has filed a lawsuit against the Trump administration.

What to know · B1

Use it today

Try saying this aloud

Neutral register

Scenario: Discussing a new government policy or rule with classmates.

  1. 01I might lose my benefits.
  2. 02We need to study this rule.
  3. 03They should protect vulnerable people.

Register tip · neutral

🔑Key Phrases

has filed a lawsuit againsthas formally taken legal action against

Common legal and news phrase used when an entity sues another.

Present perfect tense + preposition 'against'.

The local community has filed a lawsuit against the builder.

work or study for eighty hoursengage in employment or education for 80 hours

Specifies the time commitment required under the new policy.

Verb + Conjunction + Verb + Prepositional phrase of duration.

You need to work or study for eighty hours each term.

lose their essential healthcare benefitsno longer receive critical medical assistance

Highlighting the direct consequence of failing to comply with administrative rules.

Verb + Possessive pronoun + Adjective + Noun phrase.

If workers do not sign the forms, they could lose their essential healthcare benefits.

discussed the plans with officialstalked about the proposals with authorities

Shows previous communication between government bodies before the surprise rule.

Past simple verb + Object + Preposition + Plural Noun.

The committee discussed the plans with officials last Tuesday.

💬Discussion Questions

Open-ended questions to talk or write about — alone, with a partner, or in class.

  1. 1

    If a student falls seriously ill, how will it affect their academic performance?

    Predict
  2. 2

    Have you ever experienced a situation where health issues disrupted your studies?

    Personal
  3. 3

    Should governments provide financial aid to students who cannot work due to illness?

    Opinion
  4. 4

    How does the pressure to study compare with the pressure to work a job?

    Compare
  5. 5

    If schools implement health programs, will student attendance improve?

    Predict
  6. 6

    How can universities support students who are dealing with long-term sickness?

    Evaluate
  7. 7

    Is it better to focus on education first, or to work while studying?

    Compare
  8. 8

    What role should education play in helping citizens understand their healthcare rights?

    Opinion
  9. 9

    Have you seen any new policies that successfully helped disabled students in your country?

    Personal
  10. 10

    How might healthcare barriers limit educational opportunities for low-income families?

    Evaluate

Adapted from The Hill · Read the original. LectoPress rewrites the facts as original graded-reader text for language learners.

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