In a move the state says would save money but cut another 9,000 people from Medicaid, Gov. Matt Bevin’s administration is seeking permission from the federal government, or a “waiver,” for more changes to the state-federal health plan that serves 1.4 million Kentuckians.

The Bevin administration said the changes, aimed largely at “able-bodied” adults, are part of an effort to “provide dignity to individuals” and help them toward “independence from public assistance.”

The changes are aimed mostly at the approximately 440,000 people added to the program under the Medicaid expansion allowed under the Affordable Care Act. As a candidate, Bevin, vowed to scrap the expansion but later said he instead would seek to restructure it. He has said if the federal government does not grant the changes he seeks, he would end the expansion.