Kentucky Gov. Matt Bevin swings a mallet at a campaign stop in 2014. Photo: Win McNamee/Getty Images

The Trump administration last night re-approved Kentucky's proposal to add work requirements to its Medicaid program, with few changes from the original plan — even though that plan was struck down in court.

What's happened: Kentucky's initial proposal won federal approval in January. It required Medicaid recipients in the commonwealth to perform at least 80 hours of "community engagement" — work, job training or community service — per month.

  • In June, a federal judge blocked the new rules from taking effect, in response to a lawsuit that said work requirements are fundamentally at odds with Medicaid's purpose as a source of health coverage.
  • But the judge gave the Trump administration a chance to strengthen its justification for approving Kentucky's waiver proposal and try again.
  • In response, the federal Medicaid agency reopened the public comment period for Kentucky's plan.

The new comments were overwhelmingly opposed to Kentucky's work requirements, yet the federal government reapproved the same policy last night with essentially no changes.

By the numbers: Some 12,000 people have lost their Medicaid coverage already in Arkansas, the first state to successfully implement Medicaid work requirements — a sign that these policies are an effective way to curb overall Medicaid enrollment.

Go deeper

Updated 44 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 8 a.m. ET: 19,401,935 — Total deaths: 721,906 — Total recoveries — 11,767,805Map.
  2. U.S.: Total confirmed cases as of 8 a.m. ET: 4,942,747 — Total deaths: 161,367 — Total recoveries: 1,623,870 — Total tests: 60,415,558Map.
  3. Politics: Trump says he's prepared to sign executive orders on coronavirus aid.
  4. Education: Cuomo says all New York schools can reopen for in-person learning.
  5. Public health: Surgeon general urges flu shots to prevent "double whammy" with coronavirus — Massachusetts pauses reopening after uptick in coronavirus cases.
  6. World: Africa records over 1 million coronavirus cases — Gates Foundation puts $150 million behind coronavirus vaccine production.

The silver linings of online school

Illustration: Annelise Capossela/Axios

Online learning can be frustrating for students, teachers and parents, but some methods are working.

The big picture: Just as companies are using this era of telework to try new things, some principals, teachers and education startups are treating remote learning as a period of experimentation, too.

Warren and Clinton to speak on same night of Democratic convention

(Photos: Abdulhamid Hosbas/Anadolu Agency via Getty Images, Sean Rayford/Getty Images)

Sen. Elizabeth Warren and Hillary Clinton both are slated to speak on the Wednesday of the Democratic convention — Aug. 19 — four sources familiar with the planning told Axios.

Why it matters: That's the same night Joe Biden's running mate (to be revealed next week) will address the nation. Clinton and Warren represent two of the most influential wise-women of Democratic politics with the potential to turn out millions of establishment and progressive voters in November.