Medical Frailty Rule Contravenes HR 1, Burdens The Health Care System, And Threatens Public Health Sara Rosenbaum,Feygele Jacobs,Alison Barkoff,Allyson Crays,Caitlin Murphy,Caroline L. Farrell,Jane Tavares,andMarc A. Cohen June 12, 2026

https://www.healthaffairs.org/content/forefront/medical-frailty-rule-contravenes-hr-1-burdens-health-care-system-and-threatens-public?utm_campaign=forefront&utm_medium=email&_hsenc=p2ANqtz-_QFOJcCruRq-eKF3-a7VqeljztpW7DxnrBQUOqTgdL_H3pgJsoLuoyRhVxEt9fwvYu2Ju1fPdZP9qF4z62ivUXlWLqKg&_hsmi=423554003&utm_source=hasu The new rule implementing HR 1’s Medicaid community engagement provision diverges from state expectations. No last-minute change is likely more harmful than the administration’s final approach to “medical frailty,” which ignores statutory guardrails.