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Nebraska is becoming the first state to implement a Medicaid work requirement signed by Trump

The state says about 70,000 expansion enrollees may need to document 80 hours of work, service or school each month.

  • 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.
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Nebraska to become first state to implement Medicaid work requirement signed by Trump

Many people applying for Medicaid in Nebraska will soon have to prove that they're working, volunteering or in school.

·Portland, United States
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Nebraska First to Enforce Medicaid Work Requirement

·Washington, United States
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Nebraska is becoming the first state to implement a Medicaid work requirement signed by Trump

Many people applying for Medicaid in Nebraska will soon have to prove that they're working, volunteering or in school. On Friday, the state is launching the requirement.

·United States
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Center

By Samantha Liss Millions of people who apply for Medicaid in the coming years will have to show that they have been working, studying, or volunteering for at least a month before they can get or retain this federal health insurance that states run.But Republican legislators in some states believe that the new rules—part of the Republican Party's One Big Beautiful Bill Act, signed last July by President Donald Trump—do not go far enough.Indian l…

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elplaneta.com broke the news on Monday, April 27, 2026.
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