WASHINGTON D.C- The Trump Administration has reapproved Kentucky's controversial Medicaid 1115 waiver, known as Kentucky HEALTH. 

The Centers for Medicare & Medicaid services reapproved the waiver Tuesday after a federal judge denied the original approval of Kentucky HEALTH on June 29th. 

Judge Boasberg rejected the waiver because he said it conflicted with the federal Medicaid law to provide health insurance to low-income citizens.

A public comment period opened shortly after the judge's ruling where thousands of Kentuckians submitted letters of their disapproval and support. 

Gov. Matt Bevin,R-Kentucky, says the reapproval sustains the health of the state's Medicaid program. 

"This reapproval of the 1115 waiver ensures that the Commonwealth can continue to provide services for traditional Medicaid beneficiaries, while also offering a path toward improved health outcomes for all recipients," a statement read. "CMS and the Cabinet for Health and Family Services have worked tirelessly for months to finalize this 1115 waiver, and we are pleased that Kentuckians can now begin to benefit from this innovative and transformative program."

Kentucky Voices for Health says they are disappointed in the reapproval of the waiver. 

"During the 2018 federal comment period, thousands of Kentuckians spoke up to share why access to health care is critical to their ability to be good parents and caregivers, productive employees, successful entrepreneurs, and contributing members of their communities. Reapproving a waiver that makes hardworking Kentuckians jump through hoops to keep their coverage will no doubt have the opposite effect." said Emily Beauregard, Executive Director for Kentucky Voices for Health in a statement. 

The new Medicaid waiver requires Medicaid recipients to complete a work requirement, or a suitable alternative. With the waiver, some adults will be required to complete 80 hours of "community engagement" each month, which could be a job, going to school or volunteering. 

Some have estimated as many as 95,000 Kentuckians could lose health coverage once the work requirements go into effect.

Arkansas was the first state to implement work requirements for Medicaid. Last Week, the state announced more than 12,000 people had lost coverage in the past three months. 

Kentucky HEALTH will begin to be phased in regionally over several months beginning April 1,2019.