Wisconsin on Wednesday became the latest state to get approval from the Trump administration to impose work requirements on Medicaid beneficiaries.

The approval of the state’s Medicaid waiver comes as Wisconsin’s Republican Gov. Scott Walker is facing a tight race for reelection against Democrat Tony Evers, who does not support work requirements.

If elected, Evers could withdraw or change the waiver. Wisconsin did not expand Medicaid, and the approval marks the first time a non-expansion state has been given permission to impose work requirements.

Evers has said he supports expanding Medicaid in the state.

The waiver approval comes as the Trump administration faces a lawsuit in Arkansas over similar requirements, and despite assessments from the state that thousands of people could lose Medicaid coverage.