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Sam Baker Jan 11
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Trump administration lays out its plan for Medicaid work requirements

CMS Administrator Seema Verma. Photo: NICHOLAS KAMM/AFP/Getty Images

The Trump administration this morning took the first formal steps toward adding work requirements to Medicaid — likely one of the biggest changes this administration will make to the health care system.

Why it matters: Work requirements are a way to pare back Medicaid coverage, allowing states to remove some able-bodied adults from their rolls. In the face of congressional Republicans’ inability to pass a larger health care bill, these administrative actions are among conservatives’ best chances to pull Medicaid in a more conservative direction, after the Affordable Care Act dramatically expanded the program.