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A federal judge ruled that Minnesota's lawsuit challenging the Trump administration's withholding of over $259 million in Medicaid funds was premature. The decision allows the Centers for Medicare and Medicaid Services to proceed with the deferral pending further evidence from the state. The ruling relates to a broader federal effort to address potential fraud in state Medicaid programs.
Substrate placeholder — needs reviewA federal judge in Minnesota denied the state's request for a preliminary injunction against the Trump administration's decision to withhold more than $259 million in Medicaid funds. U.S. District Judge Eric Tostrud, found that Minnesota's legal challenge was premature.
The Centers for Medicare and Medicaid Services (CMS) will continue to require the state to submit evidence verifying the legitimacy of reimbursements before releasing the funds. The case stems from a state-commissioned review of Minnesota's Medicaid program, which identified vulnerabilities in 14 high-risk services over a four-year period.
7 billion in payments could have been potentially improper.
This report contributed to the federal government's decision to defer funds in response to concerns over fraud.
March, President Donald Trump established an anti-fraud task force through an executive order, appointing Vice President JD Vance to lead the effort.
The task force involves multiple agencies and focuses on addressing fraud and waste in public benefits programs. CMS, under Administrator Mehmet Oz, has adopted a policy of temporarily withholding reimbursements from states in cases of potential fraud, rather than requiring proven instances.
The initiative was influenced by Minnesota's $250 million Feeding Our Future fraud scandal, which involved misuse of federal child nutrition funds and came to national attention in 2022.
Convictions related to the scandal increased in 2025, highlighting ongoing issues in the state's administration of public benefits. The executive order cited Minnesota as an example of staggering fraud and waste.
Attorney General Keith Ellison filed the lawsuit against the Trump administration and CMS, alleging that the deferral violated the Administrative Procedure Act and constitutional due process.
Ellison's complaint stated that the federal government had weaponized Medicaid against the state as political punishment. It further noted that such categorical deferrals across entire service areas had never been used before. Judge Tostrud, in a 42-page order, referenced the 2019 Supreme Court case Department of Commerce v.
New York, stating that political motivations alone do not render an agency decision unlawful. He quoted a concurring opinion emphasizing that agency policymaking can involve political considerations and presidential priorities. The ruling provides a temporary victory for the administration but does not resolve the underlying lawsuit.
The deferral affects Minnesota's ability to fund Medicaid services, potentially impacting healthcare providers and beneficiaries reliant on the program. CMS has indicated similar actions may target programs in California, New York, and Maine, which could lead to additional lawsuits. These cases may escalate to higher courts, influencing federal oversight of state-administered programs.
Ellison's office has not commented on the ruling.
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