Earlier this month, two changes occurred that will alter the direction of the country and one of its largest welfare programs, while cementing a signature achievement of President Trump’s first term. On January 11, the Trump administration alerted state Medicaid directors of its desire to work with states to implement Medicaid work requirements. A day later they made it official. The administration approved a number of Medicaid reforms requested by the state of Kentucky, including the first-ever work requirements in the program — and now the proverbial floodgates are open. Before these recent developments, there were already a dozen states
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