Another 4,109 people in Arkansas will be removed from the Medicaid program after failing to meet the state's work requirement, bringing the total number to 8,462 four months into implementation of the requirements, new state data show.

Arkansas was the first state to require certain Medicaid enrollees work or train for work as a condition of staying enrolled in the program. People on Medicaid in Arkansas have to log their hours online, and if they fail to do so, they are taken out of the program and are not allowed to re-enroll until the following year.

State officials said some people who didn't log their hours had moved to another state, obtained a job, or increased their salary and no longer qualified, while others had failed to either fulfill the requirement or to log it.

About 73,266 people on Medicaid were originally subject to the requirement to work, volunteer, or take classes as a condition of staying enrolled in the program, and 52,714 of them were exempt from reporting because they were already meeting the requirement or because the state exempted them.

The number of people who reported their hours was lower than the number of people who did not. The report from the state shows 1,532 people reported their hours and 16,757 did not. People are not kicked off of Medicaid until they fail to report for three consecutive months.

[Trump administration to approve state requests for Medicaid work requirements]

The Trump administration has supported Arkansas-style requirements, though one program was put on hold in Kentucky after a legal challenge. The Trump administration faces a similar lawsuit in Arkansas.

Under Obamacare, states were allowed to expand government-funded Medicaid coverage to people under a specific income level, roughly $16,000 a year, regardless of other factors such as disability status or whether they are working. Medicaid otherwise covers pregnant women, people with disabilities, people in nursing homes, and children, all of whom members of the Trump administration and conservatives say should remain the focus of the program.

Though the work requirements contain multiple exemptions for people undergoing treatment for addiction and for caregivers, among other groups, critics say people will be unable to keep up with the reporting requirements and become uninsured. They have said that the programs are an attempt to throw people off Medicaid and that tracking the work requirement is more expensive than healthcare coverage.

At least eight other states — Arizona, Kansas, Maine, Mississippi, North Carolina, Ohio, Utah, and Wisconsin — have pending requests for similar work requirements.