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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Nebraska requests exemption from Medicaid work requirements in Dawson County
Gov. Jim Pillen wants a temporary Medicaid work-rule exemption for Dawson County after the Tyson plant closure pushed unemployment sharply higher.
Nebraska seeks temporary Medicaid work requirements exemption for Dawson County
Nebraska Gov. Jim Pillen. Dec. 27, 2023. (Zach Wendling/Nebraska Examiner)LINCOLN — Nebraska Gov. Jim Pillen has directed the state’s largest agency to seek federal approval to temporarily waive new Medicaid work requirements in Dawson County. Pillen directed the Nebraska Department of Health and Human Services to seek a temporary high-unemployment exemption. Dawson County had the highest monthly unemployment rate in the state in April, at 19.9%…
States face tight timeline as feds unveil new Medicaid work requirement rules
The new details come as states are staring down the January 1, 2027, deadline to put the new work requirements in place, and have requested more clarity from the feds on how they’re supposed to implement them.
Nebraska seeks temporary Medicaid work requirements exemption for Dawson County - Stateline Publications
Nebraska Gov. Jim Pillen. Dec. 27, 2023. (Zach Wendling/Nebraska Examiner)LINCOLN — Nebraska Gov. Jim Pillen has directed the state’s largest agency to seek federal approval to temporarily waive new Medicaid work requirements in Dawson County. Pillen directed the Nebraska Department of Health and Human Services to seek a temporary high-unemployment exemption. Dawson County had the highest monthly unemployment rate in the state in April, at 19.9%…
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