New Medicaid work requirements signed into law by President Donald Trump are meant to save money. But states first will have to spend millions of dollars to implement them. An Associated Press analysis finds that states are projected to spend over $1 billion on technology improvements and additional staff needed to carry out the requirements. The Medicaid changes were included in Trump's big tax-cut law passed by Congress last year. States are still waiting on federal rules to provide further guidance. But they face a time crunch because the Medicaid work requirements are supposed to be enforced next January.