President Trump and Kentucky Gov. Matt Bevin Photo: SAUL LOEB / AFP / Getty Images

The Trump administration has signed off on the first-ever set of work requirements for Medicaid beneficiaries. The Centers for Medicare & Medicaid Services today approved work requirements proposed by Kentucky Gov. Matt Bevin, and is likely to approve additional restrictions in other states relatively soon.

The details: Kentucky will now require adults enrolled in Medicaid to perform 80 hours of “community engagement” per month, with some exceptions. That could include “employment, education, job skills training, and community service,” CMS said in its approval letter.

The requirements apply to all beneficiaries between 19 and 64, with exceptions for pregnant women, people who are considered “medically frail,” primary caregivers and people with acute medical conditions.

People who fail to certify they’ve met those requirements in a given month will have their benefits suspended until they meet the new rules or complete a state-approved education program.

Key quote: “We anticipate that the incentives provided under the demonstration for healthy behaviors and community engagement will promote Medicaid's objective of improving beneficiary health,” CMS told Kentucky.

  • That statement is important because work requirements will almost certainly be challenged in court, on the grounds that they don't align with Medicaid's stated goal of providing health care to low-income people.

Go deeper: New Medicaid rules will face lawsuits almost immediately

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Updated 35 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 7 p.m. ET: 12,859,834 — Total deaths: 567,123 — Total recoveries — 7,062,085Map.
  2. U.S.: Total confirmed cases as of 7 p.m. ET: 3,297,501— Total deaths: 135,155 — Total recoveries: 1,006,326 — Total tested: 40,282,176Map.
  3. States: Florida smashes single-day record for new coronavirus cases with over 15,000 — NYC reports zero coronavirus deaths for first time since pandemic hit.
  4. Public health: Ex-FDA chief projects "apex" of South's coronavirus curve in 2-3 weeks — Coronavirus testing czar: Lockdowns in hotspots "should be on the table"
  5. Education: Betsy DeVos says schools that don't reopen shouldn't get federal funds — Pelosi accuses Trump of "messing with the health of our children."

Scoop: How the White House is trying to trap leakers

Illustration: Sarah Grillo/Axios

President Trump's chief of staff, Mark Meadows, has told several White House staffers he's fed specific nuggets of information to suspected leakers to see if they pass them on to reporters — a trap that would confirm his suspicions. "Meadows told me he was doing that," said one former White House official. "I don't know if it ever worked."

Why it matters: This hunt for leakers has put some White House staffers on edge, with multiple officials telling Axios that Meadows has been unusually vocal about his tactics. So far, he's caught only one person, for a minor leak.

11 GOP congressional nominees support QAnon conspiracy

Lauren Boebert posing in her restaurant in Rifle, Colorado, on April 24. Photo: Emily Kask/AFP

At least 11 Republican congressional nominees have publicly supported or defended the QAnon conspiracy theory movement or some of its tenets — and more aligned with the movement may still find a way onto ballots this year.

Why it matters: Their progress shows how a fringe online forum built on unsubstantiated claims and flagged as a threat by the FBI is seeking a foothold in the U.S. political mainstream.