新的联邦医疗补助规则要求受益人工作或接受培训,限制了各州的灵活性。 New federal Medicaid rules require beneficiaries to work or train, limiting states' flexibility.

联邦政府对医疗补助规定了新的工作要求,限制了各州管理方案的灵活性。 The federal government has imposed new work requirements on Medicaid, limiting states' flexibility in managing their programs. 这些要求要求受益人必须工作、志愿工作或参加职业培训以保持资格,这影响到依赖医疗保健覆盖方案的数百万人。 These requirements mandate that beneficiaries must work, volunteer, or participate in vocational training to maintain eligibility, affecting millions who rely on the program for healthcare coverage. 现在,各国根据本国具体需要调整医疗援助办法的选择较少。 States now have fewer options to tailor Medicaid to their specific needs.