Delays the enactment of Medicaid work requirements until the CBO certifies that it will not reduce the number of individuals with SUDs who are eligible for Medicaid.
Delay the enactment of Medicaid work requirements until the CBO certifies they will not reduce the number of people with substance use disorders eligible for Medicaid.
Occurrences
Evidence
Congress sent President Trump a tax-and-spending bill that, for the first time, imposes work, education, or community-service requirements on many Medicaid adults ages 19-64; AP reported the Congressional Budget Office estimated 11.8 million people could lose health coverage by 2034.
AP reported that CMS released a new Medicaid rule set to start in 2027, requiring expansion enrollees ages 19-64 to meet work, school, or community-service requirements unless they can prove medical frailty, with stricter documentation standards than expected.
Axios reported that the new Medicaid work requirements are set to take effect by January 1 and that Democratic-led states are pushing back on the Trump administration's rollout; CMS defended the policy while legal challenges were expected.
Assessments
The promised outcome was to prevent Medicaid work requirements from taking effect unless the Congressional Budget Office certified they would not reduce Medicaid eligibility for people with substance use disorders. The available evidence shows the opposite: Congress advanced and enacted Medicaid work requirements in 2025, and implementation continued in 2026 without the requested CBO safety certification condition. Brittany Pettersen remained in federal office during this period, so this is best scored as a same-term failure. The record provided does not show that she sponsored or materially advanced a concrete measure that achieved or nearly achieved this specific delay condition, so full or partial delivery is not supported and an effort badge is not warranted.