US EditionNebraska is becoming the first state to implement a Medicaid work requirement signed by Trump
State officials say about 70,000 expansion enrollees are subject to the rule, and most will be verified through existing databases.
- On Friday, Nebraska became the first state to enforce work, volunteer, or education requirements for Medicaid applicants ages 19 through 64, implementing the policy eight months before federal mandates take effect.
- Nebraska Republican Gov. Jim Pillen announced the early implementation in December, aiming to ensure "able-bodied Nebraskans" participate in the community, following a tax and policy law President Donald Trump signed last year.
- To maintain coverage, participants must work 80 hours monthly or earn at least $580, with State officials verifying most of roughly 70,000 enrollees while 20,000 to 28,000 others must submit proof within 30 days.
- Bridgette Annable, 21, fears losing insulin benefits under the new requirements and works 25 hours weekly despite being advised against it for her mental health, struggling with fibromyalgia pain and bipolar episodes.
- Amy Behnke, CEO of the Health Center Association of Nebraska, warns that rapid implementation creates confusion among staff and enrollees, as the state may adjust policies after federal guidance expected in June.
65 Articles
65 Articles
Nebraska rolls out Medicaid work requirements, putting tens of thousands at risk of coverage losses
The Cornhusker State is the first to roll out work requirements under the GOP’s “Big Beautiful Bill,” well in advance of the law’s 2027 deadline. Between 20,000 and 40,000 people are expected to lose Medicaid as a result.
Tens of thousands could lose Medicaid coverage as Nebraska becomes first state to implement GOP work requirement
Nebraska is launching work requirements in Medicaid on Friday, becoming the first state to implement a key pillar of the Republicans’ “big, beautiful bill.”
Nebraska Starts Medicaid Work Requirement
“Nebraska is launching work requirements in Medicaid on Friday, becoming the first state to implement a key pillar of the Republicans’ ‘big, beautiful bill,'” CNN reports. “GOP Gov. Jim Pillen has said the mandate will promote long term independence. But community advocates and experts fear that tens of thousands of eligible low-income adults could lose their coverage due to paperwork burdens and other hurdles.” “They also criticize the state fo…
Nebraska faces challenges as first state to impose Medicaid work requirements under GOP bill
Nebraska on Friday is set to become the first state to impose Medicaid work requirements under the GOP’s One Big Beautiful Bill Act, racing ahead of the national deadline by eight months. Nebraska’s experience will be a key test for Republicans who been championing work requirements, as it could be an indicator of what the rest of the country…
Nebraska rolls out Medicaid work requirements, putting thousands at risk of losing coverage
Nebraska on Friday became the first state to implement Medicaid work requirements, eight months ahead of the federal deadline mandated in President Donald Trump’s “big, beautiful bill.”The move is expected to strip coverage from around 25,000 residents who qualified for the program under the Affordable Care Act’s Medicaid expansion, according to the Urban Institute, a nonpartisan research group.
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