A2June 29, 2026·2 min read·268 words·6 vocab words·Source: The Hill

US States Challenge Government Over Sick Citizens

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US States Challenge Government Over Sick Citizens
Photo: The Hill
In brief

Twenty-five states and the District of Columbia started a lawsuit on Monday. They went to court in Massachusetts to fight a new Medicaid rule. The rule will start in January. It makes sick people work or study to get healthcare. The states believe this rule is too strict. They want to protect vulnerable patients.

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On Monday, twenty-five states started a in Massachusetts. The District of Columbia joined these states in the court. They went to court because they hate a new rule. The Centers for Medicare and Medicaid Services created this rule. The new rule changes the Medicaid healthcare program. Medicaid helps poor and very sick people in America. In January, new work requirements will begin for Medicaid. People must work eighty hours every month under this law. They can also or study part-time in school. But the law has exceptions for medically frail people. Medically frail means people with very weak or bad health. For example, cancer patients cannot work eighty hours. The new rule makes these exceptions very small and difficult. Now, sick people must prove their bad health to CMS. They will jump through many administrative hoops to get help. This means they must fill out many difficult forms. States talked to the government for months before this rule. But the government surprised the states with this rule. The states did not expect these hard new In their opinion, many poor people will lose healthcare. Sick people cannot get their medicine without this program. The states want the court to stop the rule However, government officials want to stop waste and abuse. Officials expect these rules to help the program. Congress wanted broad exclusions for these vulnerable people. They want to protect vulnerable citizens from losing coverage. Disabled people need this medical care to stay alive. So, the states will fight the government in court. The court must decide on this case very soon.

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Take a position. Out loud, if you can.

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Comprehension
Question 1 of 3

What does 'medically frail' mean?

Grammar spotlight

Past Simple (Regular Verbs)

One point · A2

Use the past simple to talk about completed actions in the past. Regular verbs end in '-ed'.

From this article

On Monday, twenty-five states started a lawsuit in Massachusetts.

What to know · A2

Use it today

Try saying this aloud

Neutral register

Scenario: Talking to a doctor about a medical exception or scheduling a checkup.

  1. 01I need an exception.
  2. 02I have bad health.
  3. 03Can I fill out the form?

Register tip · neutral

🔑Key Phrases

twenty-five states started a lawsuit25 states initiated a legal case

Describes the action of multiple state governments suing the federal government.

Number + Plural Noun + Past Simple Verb + Noun Phrase.

Yesterday, twenty-five states started a lawsuit against the changes.

exceptions for medically frail peoplespecial rules allowing sick people to avoid requirements

Refers to the legal carve-outs designed to protect vulnerable individuals.

Noun + Preposition + Adverb + Adjective + Plural Noun.

Our school has exceptions for medically frail people.

many poor people will lose healthcarelots of low-income citizens are going to lose medical benefits

Explains the potential negative outcome of the new rule.

Adjective + Plural Noun + Future 'will' + Verb + Noun.

If the clinic closes, many poor people will lose healthcare.

💬Discussion Questions

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

  1. 1

    Should sick students go to school or stay at home?

    Opinion
  2. 2

    How did you balance your study time and work time in the past?

    Personal
  3. 3

    Will governments make rules that help students stay healthy?

    Predict
  4. 4

    Is it more difficult to study when you are sick or when you are tired?

    Compare
  5. 5

    What should a school do when a student gets very sick?

    Evaluate
  6. 6

    How will healthcare rules affect poor students in the future?

    Predict
  7. 7

    Did you ever miss school because you were sick?

    Personal
  8. 8

    Is free education more important than free healthcare?

    Compare
  9. 9

    How can we make school less stressful for sick children?

    Opinion
  10. 10

    Should schools teach children about health and nutrition?

    Opinion

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

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