The governor of Kentucky, Republican Matt Bevin, has won awaiver to institute work requirements for Medicaidrecipients to continue being covered, and although there hasalready been talk of court challenges—Democrats feel that imposinga work requirement on some of the poorest and sickest in theU.S.—Bevin is determined to proceed.

In fact, according to The Hill, he’s already issued an executive order declaring thatif any part of his waiver is struck down—it not only imposes a workrequirement on “able-bodied” Medicaid recipients, but also imposespremium payments and will lock beneficiaries out of coverage ifthey don’t pay up—he’ll end the whole Medicaid expansion.

Medicaid was expanded by Bevin’s Democratic predecessor SteveBeshear, and Bevin ran on a platform that promised to end it. Thehitch is that if he does so, about 480,000 people could stand tolose their coverage—and as it stands, if thewaiver goes unchallenged, a McClatchy report says that 100,000 could lose coverage just based on thework requirement.

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