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Nebraska plans to be the first state to implement Trump’s new Medicaid work requirements

Nebraska will require about 30,000 Medicaid expansion adults to work or engage in qualifying activities 80 hours monthly starting May 1, 2026, ahead of the federal deadline.

  • Nebraska plans to be the first state to implement work requirements for Medicaid recipients mandated in the One Big Beautiful Bill Act.
  • Able-Bodied adults age 19 to 64 receiving Medicaid expansion coverage must work 80 hours a month or participate in approved programs.
  • Exemptions apply to certain groups like pregnant women, disabled individuals, and caregivers.
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The Daily News broke the news in on Wednesday, December 17, 2025.
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