Earlier this month, Kentucky became the first state to gain approval to launch a demonstration that will make employment an eligibility requirement for Medicaid. Kentucky will be conducting what is known as a Section 1115 demonstration, which allows the U.S. Department of Health and Human Services (HHS) and states to test changes to Medicaid and other public welfare programs without formal legislative action. Shortly after HHS’s approval of Kentucky’s proposal, attorneys representing 15 Kentucky Medicaid beneficiaries filed a federal lawsuit (Stewart v. Hargan) against the HHS secretary to have the Trump administration’s demonstration’s work policies declared unlawful and any work on the Kentucky demonstration halted.