Verma wants to add new requirements for "working age, able-bodied adults.” Photo: Evan Vucci / AP

Seema Verma, the federal Medicare and Medicaid administrator, made clear in a speech this morning that the Trump administration intends to let states impose new requirements, including work requirements, on some Medicaid recipients. Using Medicaid "as a vehicle to serve working age, able-bodied adults does not make sense," Verma said.

Why it matters: Medicaid is the largest insurance program in the country. Verma has made clear she intends to roll back the program's ambitions — and she's begun laying out exactly how she aims to get there.

The details: Verma said her office "will approve proposals that promote community engagement activities" — which she defined as working, receiving job training, going to school or volunteering — as a requirement for able-bodied adults to receive Medicaid benefits.

  • By law, when the federal Medicaid office evaluates a state's proposed Medicaid waiver, it's required to consider whether those changes would "assist in promoting the objectives" of the Medicaid program.
  • The Obama administration drew a hard line against work requirements, saying they would not further Medicaid's objective of providing health insurance for poor people.
  • "Believing that community engagement requirements do not support or promote the objectives of Medicaid is a tragic example of the soft bigotry of low expectations consistently espoused by the prior administration. Those days are over," Verma said today.

Go deeper

Updated 47 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 8:30 a.m. ET: 12,740,971 — Total deaths: 565,716 — Total recoveries — 7,022,846Map.
  2. U.S.: Total confirmed cases as of 8:30 a.m. ET: 3,247,782 — Total deaths: 134,815 — Total recoveries: 995,576 — Total tested: 39,553,395Map.
  3. Politics: Trump wears face mask in public for first time.
  4. Public health: Fauci hasn't briefed Trump on the coronavirus pandemic in at least two months — We're losing the war on the coronavirus.
  5. States: Louisiana governor issues face mask mandate.
  6. World: India reimposes lockdowns as coronavirus cases soar.
2 hours ago - World

Hundreds of thousands vote in Hong Kong's opposition primaries

Photo: Isaac Lawrence/AFP via Getty Images

Organizers say more than 500,000 Hong Kong residents have voted in primary elections held by pro-democracy opposition groups on Saturday and Sunday, despite fears of a government crackdown under Beijing's draconian new national security law, Reuters reports.

Why it matters: The primaries, which aren't part of the city's official political process, are intended to whittle down the field of pro-democracy candidates in order to avoid splitting the vote against pro-China ruling politicians in September's legislative elections.

Biden's doctrine: Erase Trump, re-embrace the world

Photo illustration: Sarah Grillo/Axios. Photo: Bastiaan Slabbers/NurPhoto, and Bastiaan Slabbers/NurPhoto via Getty Images

Foreign policy will look drastically different if Joe Biden defeats President Trump in November, advisers tell Axios — starting with a Day One announcement that the U.S. is re-entering the Paris Climate Agreement and new global coordination of the coronavirus response.

The big picture: If Trump's presidency started the "America First" era of withdrawal from global alliances, Biden's team says his presidency would be the opposite: a re-engagement with the world and an effort to rebuild those alliances — fast.