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Italian premier Giorgia Meloni speaks about the upcoming referendum on a judicial reform during the RAI state television program Cinque minuti (Five Minutes), in Rome, Friday, March 20, 2026. (Roberto Monaldo /LaPresse via AP)

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Italian premier Giorgia Meloni speaks about the upcoming referendum on a judicial reform during the RAI state television program Cinque minuti (Five Minutes), in Rome, Friday, March 20, 2026. Writing on placard on screen reads in Italian "Superior Council of Magistracy" (Roberto Monaldo /LaPresse via AP)

Minnesota is suing President Donald Trump’s administration in an attempt to stop it from withholding $243 million in Medicaid spending. The lawsuit filed Monday asks a U.S. court in Minneapolis to issue a temporary restraining order to block the withholding for Medicaid, which is the health care safety net for low-income Americans. The move came after Vice President JD Vance said last week the administration would “temporarily halt” some Medicaid funding to Minnesota over fraud concerns. Minnesota's attorney general says his office has a strong track record of fighting Medicaid fraud. The U.S. Department of Health and Human Services didn't immediately respond to an email and phone message seeking comment late Monday.

New Medicaid work requirements signed into law by President Donald Trump are meant to save money. But states first will have to spend millions of dollars to implement them. An Associated Press analysis finds that states are projected to spend over $1 billion on technology improvements and additional staff needed to carry out the requirements. The Medicaid changes were included in Trump's big tax-cut law passed by Congress last year. States are still waiting on federal rules to provide further guidance. But they face a time crunch because the Medicaid work requirements are supposed to be enforced next January.

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Vice President JD Vance and Administrator for the Centers for Medicare & Medicaid Services Dr. Mehmet Oz take questions from reporters following remarks on the administration's efforts to combat fraud during a news conference in the Old Eisenhower Executive Office Building on the White House campus Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

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Administrator for the Centers for Medicare & Medicaid Services Dr. Mehmet Oz speaks during a news conference in the Old Eisenhower Executive Office Building on the White House campus Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

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Administrator for the Centers for Medicare & Medicaid Services Dr. Mehmet Oz speaks beside Vice President JD Vance during a news conference on efforts to combat fraud, in the Old Eisenhower Executive Office Building on the White House campus Wednesday, Feb. 25, 2026, in Washington. (AP Photo/Tom Brenner)

Vice President JD Vance says the Trump administration will “temporarily halt” some Medicaid funding to the state of Minnesota over fraud concerns. It's part of what he described Wednesday as an aggressive crackdown on misuse of public funds. Medicaid is the U.S. health care safety net for low-income Americans. As of late 2025, nearly 70 million people were enrolled nationwide.