Comment on CMS-2026-2047-0002

Summary: The California Academy of Family Physicians (CAFP) opposes the proposed interim final rule, arguing that the rigid implementation of Medicaid work requirements creates significant administrative burdens for states and clinicians while risking coverage disruptions for vulnerable populations. They request that CMS provide more flexibility regarding medical frailty exclusions, clarify that physicians are not responsible for eligibility determinations, and extend the implementation timeline.