About 1.7 million Medicaid beneficiaries could be impacted by work requirement proposals in 10 states, according to new report released Monday from the PwC Health Research Institute. 

{mosads}Three states — Indiana, Arkansas and Kentucky — have already had work requirements approved by the Trump administration. 

Requests from the other seven states are still pending. 

Most of the states are seeking waivers to impose work requirements on adults who gained coverage through ObamaCare’s Medicaid expansion.

The populations impacted by the waivers represent nearly $8 billion in annual medical expenditures, according to the report. 

The administration told state Medicaid directors in January it would support states seeking waivers to issue work requirements, or community engagement requirements. It said those requirements would “promote better mental, physical, and emotional health” and help families “rise out of poverty and attain independence.”

The proposals submitted so far would require at least 20 hours per week of work or community engagement.  

Correction: An earlier version of this article misstated the percentage of Medicaid beneficiaries that would be impacted.