The Trump administration announced Thursday that it will open the door for states to impose work requirements for Medicaid recipients, in a major shift that could affect millions of low-income people receiving benefits.

The Trump administration said on Thursday it would allow states to test requiring some Medicaid recipients to work or participate in community activities such as volunteering or jobs training as a condition of eligibility for the government health insurance program for the poor.

The Trump administration issued guidance to states early Thursday that will allow them to compel people to work or prepare for jobs in order to receive Medicaid for the first time in the half-century history of this pillar of the nation’s social safety net.

Some states would likely end their Medicaid expansions earlier than 2024 if the Senate GOP’s healthcare bill becomes law, according to several sources.

When economists talk in their sleep, they say, "There is no such thing as a free lunch." This axiom is drilled into them from day one of their undergraduate education and never leaves their minds. Any economist who tried to deny it would find herself suddenly choking in pain and unable to speak.

White House’s $4.1 trillion spending blueprint relies on economic growth of 3% by 2021.

President Trump’s first major budget proposal on Tuesday will include massive cuts to Medicaid and call for changes to anti-poverty programs that would give states new power to limit a range of benefits, people familiar with the planning said, despite growing unease in Congress about cutting the safety net.

Before the House narrowly approved the Republican bill to overhaul the Affordable Care Act, McCarthy defended it in an interview with CNN’s Dana Bash after she noted that Democrats paid a price at the polls for passing Obamacare. She wondered whether Republicans are “going to face that very same buzz saw for taking a benefit away.”

SCOTTSBURG, Ind. — When former Indiana Gov. Mike Pence embraced Obamacare’s Medicaid expansion with conservative twists — such as requiring enrollees to contribute to their care — critics lamented poor people would be locked out while backers cheered the program’s focus on personal responsibility.

Unlike the average college student, who spends their university years studying to pass the next midterm or, more realistically, planning their next alcohol-drenched bacchanalia, Paul Ryan stayed focused on loftier goals: denying health-care coverage for millions of low-income and elderly Americans. Or so he implied while defending his current effort to roll back Medicaid, via his unpopular plan to repeal and replace O