Tuesday, October 27, 2026
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· Legislation
Boston court hears work rule case and will rule in coming weeks
A Boston federal court heard states argue the health secretary exceeded authority on work rule exemptions, as STAT reported. The judge said a ruling would come in the coming weeks, and states have about 70 days to put the rule in place. The Justice Department said Congress gave the secretary that latitude.
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Issue updates
What changed in open issues
Taking effectOct 15, 2026
ACA marketplace coverage and uninsured demandIRS proposes premium tax credit rules, with comments due November 30Next: Oct 30, 2026
Taking effectOct 14, 2026
Medicaid work-requirement implementationCourt sets frailty-suit briefing but won't promise a ruling before JanuaryNext: Oct 30, 2026
Deadlines
Federal Stopgap Funding Law ExpiresDec 11, 2026 · Source: The White House, H.R. 6500 signing statement45daysCurrent Community Health Center Fund Authority EndsDec 31, 2026 · $4.6B for FY2026 plus $1,159,452,055 for Oct. 1–Dec. 31, 2026 · Source: Cornell Legal Information Institute — 42 U.S.C. § 254b-265daysCalAIM Waiver Expires — Renewal Submitted to CMS; ECM & Community Supports End for UIS Members on January 1, 2027Dec 31, 2026 · Source: California DHCS — CalAIM Waivers65days
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