Delays the enactment of work requirements until the CBO certifies that it will not increase the amount of uncompensated care that hospitals face.
Delay the enactment of Medicaid work requirements until the CBO certifies they will not increase uncompensated care for hospitals.
Occurrences
Evidence
AP reported that CMS announced a new Medicaid rule starting in 2027 for expansion enrollees ages 19-64, requiring work, school, or community service unless they can prove medical frailty. The agency said the standard is narrow and states are already trying to prepare.
Axios reported that Democratic-led states are clashing with the Trump administration over Medicaid work requirements set to take effect by January 1, with states warning the rollout is unworkable and CMS defending it. The reporting says the rules are rooted in last year's Republican tax-and-spending bill.
Politico reported that House Republicans accelerated the Medicaid work-requirement start date in the megabill from January 2029 to December 31, 2026.
Assessments
There is no evidence that Brittany Pettersen secured or materially advanced a federal policy delaying Medicaid work requirements until a CBO certification on uncompensated hospital care. The supplied evidence shows the opposite outcome: federal Medicaid work requirements were accelerated legislatively in 2025 and then moved into active implementation for 2026-2027 without the promised CBO certification condition. Because the outcome went against the pledge while she was in federal office, and the record here does not show a serious Pettersen-led legislative attempt that nearly delivered it, this is best scored as not fulfilled.