Nebraska becomes 1st state to implement Medicaid work requirements
Nebraska has become the first state to implement federal Medicaid work requirements, mandating that able-bodied adults aged 19 to 64 without dependents work or participate in approved activities for at least 80 hours per month. Between 28,000 and 41,000 Nebraskans could lose coverage by 2034 as a result of the policy, which is part of a broader federal effort to reduce Medicaid spending. Health policy experts warn the changes may lead to widespread loss of health care access and deteriorating public health outcomes.
- ▪Nebraska is the first state to implement Medicaid work requirements under the federal megabill passed during President Donald Trump's administration.
- ▪The work requirements apply to able-bodied adults aged 19 to 64 without dependents, mandating 80 hours per month of work, school, or volunteering.
- ▪Exemptions exist for parents or guardians of children under 14 and individuals with disabilities.
- ▪The Congressional Budget Office estimates the policy could result in 4.8 million more uninsured Americans by 2034.
- ▪Nebraska Governor Jim Pillen defended the policy as a way to encourage workforce participation and reduce dependency on welfare.
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ABC NewsLiveVideoShowsGood Morning AmericaShopGMAInterest Successfully AddedWe'll notify you here with news aboutTurn on desktop notifications for breaking stories about interest? OffOnStream onNebraska becomes 1st state to implement Medicaid work requirementsBetween 28,000 and 41,000 Nebraskans could be at risk of losing coverage.ByMary KekatosMay 1, 2026, 5:51 PM2:52In this March 19, 2025, file photo, the Centers for Medicare & Medicaid Services building is shown in Woodlawn, Maryland.
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