Democratic Gov. Janet Mills is rejecting an arrangement her Republican predecessor set up with the Trump administration in Maine that would have required certain people on Medicaid to work as a condition of staying enrolled in the program.

Instead, she directed the state's health agency Tuesday to make vocational and work training programs available as an option for Mainers. To be on the Medicaid program, people in the state must make less than roughly $17,000 a year, regardless of whether they are working, are disabled, or what their savings are.

Maine's example demonstrates the changing landscape for Medicaid depending on which party controls the state legislature and the governor's office. Obamacare was originally written to have all states expand Medicaid to low-income people, but a Supreme Court decision made the provision optional. As a result, just over a dozen states haven't moved to expand while others are working on the logistics, including the logistics of how states will pay their share of expansion.

This is the second major action Mills has taken related to Medicaid since taking office in early January. Her GOP predecessor, Paul LePage, refused to expand the Medicaid program under Obamacare even after voters approved the expansion during a ballot measure in 2017. He said the state must find a way to pay for the expansion before carrying it out.

While the debate over the expansion carried on in court, the LePage administration sent a waiver to the Trump administration asking for the work requirements, and the proposal was approved in December.

So far, work requirements have been approved in eight states, and most require beneficiaries who are able-bodied and do not have children to work, volunteer, or take classes for at least 80 hours a month and to log their hours with the state or otherwise lose coverage.