Tennessee is seeking federal approval to require about 56,000 low-income adults to work, volunteer, or take classes - or risk losing their government-funded Medicaid health coverage, known as TennCare.
Tennessee is following the call of President Donald Trump, who wants to require able-bodied adults on Medicaid to work. The state has asked Trump's administration to approve a plan that would require TennCare recipients to average 20 hours of work a week for four months during six-month periods.
Violators could have their benefits suspended.
The requirement would not apply to pregnant women, elderly, disabled, one primary caregiver per household with a child younger than 6, caregivers for the medically frail, and other exemptions.