Walker and the Republican-controlled Legislature have instead restricted access to people whose earnings are at or below the poverty level. He expanded coverage to childless adults who had been on a waiting list, however.

According to figures the state Department of Health Services released in May, the changes will result in nearly 63,000 people who earn more than the poverty level losing Medicaid coverage. However, the net effect after childless adults join the rolls is an addition of about 19,000 more people getting coverage.

Walker spokeswoman Laurel Patrick called the White House report "wrong" in an email to The Associated Press. She said the report doesn't account for the 81,731 childless adults who now have coverage under the governor's changes. Everyone with earnings up to the poverty level has access to Medicaid, she said, and people above the poverty line can get government-subsidized insurance through the ACA exchanges or elsewhere in the private market.

State DHS spokeswoman Claire Smith said the report is geared toward states that have not expanded Medicaid but haven't come up with any other coverage options like Walker did.