President Donald Trump's 2020 budget plan calls for a nationwide work requirement for low-income adults getting health insurance through the federal-state Medicaid program.
A national work requirement would reduce Medicaid spending by $130 billion over 10 years, according to the budget. Independent experts and advocates say that's partly because it would leave millions uninsured.
Until now the Trump administration has given states the option of imposing their own work requirements. Some have done so, only to be taken to court.
The budget says "able-bodied, working-age" Medicaid recipients would have to find work, train for work, or volunteer. It's part of the administration's drive to require work in anti-poverty programs, including food stamps.
The nonpartisan Kaiser Family Foundation estimates that 1.4 million to 4 million low-income people could lose Medicaid coverage.