The state wants to make Mainecare more like its SNAP program. Among other changes, it wants to require able-bodied adults, including those with children over the age of 5, to work at least 20 hours a week, volunteer, or be in job training. Maine is one of seven states with pending requests for similar measures. Kentucky, Indiana, and Arkansas have already had work requirements for Medicaid approved by the Trump administration. Hamilton says the state’s economy is healthy, and has jobs available.