The notice was issued on June 29, 2018, by the Kentucky Cabinet for Health and Family Services (CHFS) to modify the benefits available to Medicaid beneficiaries enrolled in the state's Kentucky HEALTH alternative benefit program. The notice was issued in response to a court ruling on June 29 that invalidated the federal approval for the Kentucky HEALTH 1115 Medicaid waiver, which intended to link Medicaid eligibility for able-bodied beneficiaries to their participation in the workforce, work preparation activities, or approved volunteer work. The Court concluded that in approving the waiver, the federal Centers for Medicare & Medicaid Services . . .