Erica Carter of Sioux City, Iowa, says she enjoys her job as a finance manager for the Omaha Nation public school district in Nebraska, working to find grants and opportunities for low-income students. But when she learned her pay was too high for her to remain in an Iowa Medicaid program, Carter had to choose — leave the job or give up her benefits.

Medicaid will have new work requirements next year. But some people with disabilities, who already work, say they’d like to work more, but risk losing their Medicaid coverage if they earn too much.

(Image credit: Natalie Krebs)