President Trump with Health and Human Services Secretary Alex Azar. Photo: Chip Somodevilla/Getty Images

Legal challenges aren't slowing down the Trump administration's push to reframe Medicaid as something closer to a welfare program.

Driving the news: The Centers for Medicare & Medicaid Services on Friday approved Ohio's proposal to add work requirements to its Medicaid program.

  • Just a day earlier, Justice Department lawyers were back before the same federal judge who ruled against work requirements last year, urging him to let the policy move forward now.

Where it stands: CMS has approved work requirements for 8 states, 3 of which have begun enforcing those rules. Several more applications are still pending.

By the numbers: Ohio expects roughly 18,000 people to lose their Medicaid eligibility this year because of the new rules.

  • In Arkansas, the first state to begin enforcing its work requirements, 18,000 people lost their coverage in the first 6 months.

Those coverage losses are central to the lawsuits challenging these new rules.

  • Federal law says the process through which CMS is approving these waivers should be used for ideas that serve Medicaid's goals as a source of health care coverage.
  • Critics argue that work requirements don't advance Medicaid as a health care program, as evidenced by the fact that they cause so many people to lose their coverage.
  • Judge James Boasberg seemed inclined to agree with that argument last year when he put Kentucky's work requirements on ice, and echoed similar concerns again last week as he weighed fresh challenges to both Kentucky and Arkansas' rules. 

Go deeper: Kentucky's Medicaid work requirements are back in court

Go deeper

Updated 2 hours ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 9 p.m. ET: 18,187,396 — Total deaths: 691,352 — Total recoveries — 10,841,436Map.
  2. U.S.: Total confirmed cases as of 9 p.m. ET: 4,711,323 — Total deaths: 155,379 — Total recoveries: 1,513,446 — Total tests: 57,543,852Map.
  3. Politics: White House will require staff to undergo randomized coronavirus testing — Pelosi says Birx "enabled" Trump on misinformation.
  4. Sports: 13 members of St. Louis Cardinals test positive, prompting MLB to cancel Tigers series — Former FDA chief says MLB outbreaks should be warning sign for schools.
  5. 1 🎥 thing: "Tenet" may be the first major film to get a global pandemic release.

In photos: Thousands evacuated as Southern California fire grows

A plane makes a retardant drop on a ridge at the Apple Fire north of Banning in Riverside County, which "doubled in size" Saturday, per KTLA. Robert Gauthier / Los Angeles Times via Getty Images

A massive wildfire that prompted mandatory evacuations in Southern California over the weekend burned 26,450 acres and was 5% contained by Monday afternoon, the California Department of Forestry and Fire Protection said.

The big picture: As California remains an epicenter of the coronavirus pandemic in the U.S., some 15 separate fires are raging across the state. About 7,800 people were under evacuation orders from the Apple Fire, about 75 miles east of Los Angeles, as hundreds of firefighters battled the blaze. CalFire said Monday that a malfunction involving a "diesel-fueled vehicle emitting burning carbon from the exhaust system" started the Apple Fire.

Twitter faces FTC fine of up to $250 million over alleged privacy violations

Photo: Rafael Henrique/SOPA Images/LightRocket

The Federal Trade Commission has accused Twitter of using phone numbers and emails from its users to make targeted ads between 2013 and 2019, Twitter said in an SEC filing published Monday.

Why it matters: Twitter estimates that the FTC's draft complaint, which was sent a few days after its Q2 earnings report, could cost the company between $150 million and $250 million. The complaint is unrelated to the recent Twitter hack involving a bitcoin scam.