Indiana on Friday became the second state to gain approval for imposing work requirements on Medicaid beneficiaries, a sign that the Trump administration is maintaining a rapid pace for granting changes that will put a conservative imprint on the program.

The approval, the first major health-policy move since Alex Azar was sworn in Monday as Health and Human Services secretary, suggests continued support under his leadership for work-related mandates in Medicaid, the federal-state health program for the low-income and disabled.

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Trump Administration Approves Work Mandate for Medicaid in Indiana