NAMI Warns of Medicaid Coverage Losses Under New Work Rules

CEO Daniel H. Gillison Jr. stated the organization is deeply troubled by the rule, noting that coverage losses often stem from bureaucratic navigation rather than shifts in eligibility. NAMI, backed by over 3,800 advocates and recent polling data, warns that the mandate creates a dangerous gap for those whose mental health conditions fluctuate in severity. While the 2025 law signed by President Trump includes a 'medically frail' exemption, the administration’s current interpretation requires proof that a condition 'significantly impairs' the ability to work. Critics argue this overlooks the reality of episodic mental illness, where patients may lose access to care precisely when their symptoms worsen and they require support the most. A survey of NAMI members reflects these anxieties, with 97% of respondents fearing that the new requirements will result in widespread coverage gaps. NAMI maintains that the current policy undermines statutory protections, forcing individuals to navigate impossible paperwork demands while managing their health. The organization plans to continue lobbying Congress and federal agencies to mitigate these risks and assist families in adapting to the new regulatory landscape.