Kentucky has become the first state to take advantage of the permission granted by President Trump and require some Medicaid recipients to have to work or take job training in exchange for free medical coverage. And contrary to what you might hear from Paul Krugman or other outraged liberals, the work requirement applies to able-bodied recipients only. The disabled, the elderly, those with severe medical issues, pregnant women and adults who care full-time for dependent children or adults are all exempt.
The alternative was to let the Medicaid fund go bankrupt because the cost of expanding membership under Obamacare without asking anything in return was unsustainable. And at the state level, you can't cover unsustainable spending by simply going into debt or printing more money. For details of the Kentucky changes and a list of other states that are likely to follow suit, check the link.