Wisconsin Republicans voted in a lame-duck session late Tuesday and early Wednesday to enact a work requirement for some Medicaid participants as part of a series of changes to the program.

The state Assembly approved the legislation shortly after midnight, with all Democrats and Rep. Todd Novak, R-Dodgeville, voting against it. The Senate passed the bill on a party-line vote just before 11 p.m.

The bill codifies into state law a work requirement for able-bodied, childless adults under age 50 who are insured through the state's BadgerCare Plus program. BadgerCare Plus is available to adults whose incomes fall below the poverty threshold. President Donald Trump's administration approved the work requirement in October, but Democratic Gov.-elect Tony Evers said last month he is considering ending the policy.

Also under the changes approved by the Legislature, some childless adults insured under BadgerCare would be required to pay monthly premiums depending on their income level, and would be charged co-payments for nonemergency visits to the emergency room.