Work requirements led to thousands in Arkansas losing their Medicaid during the first Trump administration. Policymakers say they've learned lessons to avoid mistakes this time.

A lawsuit prompted Indiana to suspend the work requirements in 2019. And now, after a new review by the Biden administration, the Centers for Medicare and Medicaid Services is revoking its approval.

The Biden administration appears to have begun the process of rolling back Medicaid work requirements. But some worry this may mean conservative states will reject Medicaid expansion altogether.

Like several other states, Indiana faced a court challenge to rules that could have eliminated health insurance for many low-income Hoosiers.

The Indiana Family and Social Services Administration has temporarily suspended work requirements for people on the Healthy Indiana Plan.

The Indiana Family and Social Services Administration says it won't enforce rules that require those not qualifying for exemptions to report 20 hours a month of work or related activity or face coverage loss after Dec. 31.

A new lawsuit is challenging Indianas work requirements for the states Medicaid expansion program, HIP. Medicaid work requirements have been struck down in three other states.

Starting July 1, tens of thousands of people who receive health insurance through Indiana's Medicaid expansion are required to report work hours or other activities.

"Gateway to Work" is billed as a community engagement opportunity to help connect people with better employment opportunities. But some worry the changes will result in Hoosiers losing health insurance.

Federal law allows states to experiment with their Medicaid programs to improve health care, but advocates say changes like work requirements create more problems.