The Trump administration approved a request from Arkansas allowing the state to require certain Medicaid enrollees work, volunteer, or take classes as a condition of staying enrolled in the program.

The administration did not make a decision on a second request from Arkansas whereby people making above 100 percent of the federal poverty level, or roughly $12,000 a year, would have been blocked from enrolling. Under the proposal, called a 1115 waiver, the state would have moved people above that income onto the health insurance exchanges to receive private coverage paid for mostly by the federal government. If both requests had been taken together, the state estimated that roughly 60,000 people would have fallen from Medicaid rolls.