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Nebraska becomes 1st state to implement Medicaid work requirements

Nebraska becomes 1st state to implement Medicaid work requirements

Summary

Nebraska is the first state to put into action new Medicaid work rules from a federal law signed by President Donald Trump. Able-bodied adults on Medicaid must work, volunteer, or attend school for 80 hours a month unless they have young children or disabilities. Experts warn many could lose health coverage, which may hurt people’s health and strain local care services.

Key Facts

  • Nebraska started enforcing Medicaid work requirements for adults aged 19 to 64 without dependents.
  • The rules say these adults must work or do approved activities, like volunteering or going to school, for 80 hours each month.
  • People with disabilities or parents with children under 14 are exempt from these work rules.
  • Between 28,000 and 41,000 Nebraskans might lose Medicaid coverage by 2034 because of these new rules.
  • Nationwide, over 5 million people could lose Medicaid due to similar work requirements.
  • The federal Medicaid program face cuts totaling more than $900 billion under the law.
  • The law also demands states check Medicaid eligibility twice a year (instead of once) and limits coverage for undocumented immigrants.
  • Supporters say work rules help reduce waste and encourage personal responsibility, while critics warn of negative health and economic effects.
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