In January 2018, the Centers for Medicare and Medicaid Services approved a waiver of Medicaid rules requested by the state of Kentucky. Under the HEALTH (Helping to Engage and Achieve Long-Term Health) waiver, Kentucky will require an estimated 350,000 able-bodied Medicaid beneficiaries who are not primary caregivers and/or pregnant to work, complete job training, or volunteer at least 80 hours a month in order to maintain their coverage. Kentucky argues that the program will increase labor force participation and makes economic sense for the state. However, analyses have shown that work requirements such as these are unlikely to lead to any meaningful increase in the number of people who work, and may actually lead to work reductions among some vulnerable populations.