Arizona Governor Doug Ducey has formally announced a proposal to the federal government for major changes to the state's medicaid insurance plan.
The plan applies to able bodied adults who don't have to take care of small children. They represent about a quarter of the state's 1.7 million AHCCCS patients.
They would be charged co-pays for some services and required to pay 2% of their income into a health savings account.
The changes are designed to encourage recipients to better use the services and possibly cut state costs.