Advocacy groups filed the first lawsuit challenging the Trump administration’s efforts to overhaul Medicaid by allowing states to require some beneficiaries to work or pursue jobs.

The suit, filed in federal court in Washington on behalf of more than a dozen Kentucky Medicaid recipients, seeks class-action status to halt changes to the state’s Medicaid program that the administration approved this month. It says the changes go beyond what’s allowed under current Medicaid law and regulations and were imposed without following appropriate government processes.

Kentucky was the first state cleared to shift its Medicaid program in a more conservative direction, after the Centers for Medicare and Medicaid Services said this month it would let states require some Medicaid recipients to prove they are working, training for a job, or volunteering as a condition of gaining coverage.

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