As states face stricter Medicaid work requirements, Nebraska is an early test
Summary
Nebraska recently became the first state to enforce stricter work rules for Medicaid under President Donald Trump's administration. These rules require many Medicaid recipients to work, volunteer, or attend school for at least 80 hours a month to keep their health coverage, which has led to a sharp drop in new enrollments.Key Facts
- Nebraska started enforcing new Medicaid work requirements in May.
- The Health Center Association of Nebraska usually enrolls about 15 people monthly but enrolled none in May.
- Many potential enrollees may avoid signing up because they think they won’t qualify or find the process too difficult.
- The new rules come from a law signed by President Trump last summer called the "One Big Beautiful Bill Act."
- These work requirements affect Medicaid recipients with low incomes or disabilities in 43 states and Washington, D.C.
- Recipients must prove at least 80 hours per month of work, volunteering, or education starting in 2027.
- Most states affected have expanded Medicaid under the Affordable Care Act.
- Experts worry that these rules could cause many eligible people to lose Medicaid coverage.
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