Adults on Medicaid will be required to work 80 hours per month. The Trump administration says people who are sick will have to prove they are too sick to work to be exempt from the new work rules.

A nonpartisan policy group estimates the work requirements are expected to cause 5 million people to lose coverage by 2034, largely because of administrative hurdles.

The Trump administration unveiled a new rule Monday adding work requirements to Medicaid eligibility, attracting condemnation from patient group.