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Nebraska seeks temporary Medicaid work requirements exemption for Dawson County

Gov. Jim Pillen says the waiver would shield residents in a county with 19.9% unemployment from new 80-hour Medicaid rules.

  • On Friday, Nebraska Gov. Jim Pillen directed state agencies to seek a temporary high-unemployment exemption from the Centers for Medicare and Medicaid Services for Dawson County, which recorded 19.9% unemployment in April following the Tyson plant closure.
  • President Donald Trump's "One Big Beautiful Bill Act" established "community engagement requirements" for Medicaid recipients; Nebraska enacted these stricter rules on May 1, requiring able-bodied enrollees to prove 80 hours of monthly work or volunteer activity.
  • Behnke of the Health Center Association of Nebraska warned that reporting processes present a "heavy lift," noting that verification systems make designating medically frail individuals "more challenging" for enrollees.
  • Dr. Ben Sommers, a Harvard healthcare economist, warned that similar requirements in Arkansas and New Hampshire caused thousands to lose coverage, noting "subjecting many people to a requirement" often results in policy failure.
  • CMS head Dr. Mehmet Oz defended stricter rules as restoring a "perverted" Medicaid system, while states face a January 1, 2027, deadline to implement full eligibility verification systems.
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Arizona Daily Sun broke the news on Thursday, June 4, 2026.
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