Medicaid Work Requirements Are Coming Into Effect—New Rules Explained
Summary
Nebraska has started requiring some Medicaid recipients to work or participate in activities like volunteering or schooling for 80 hours a month to keep their health coverage. This rule, created under President Donald Trump’s 2025 budget law, will apply in 44 states by 2027, but Nebraska and Montana began early.Key Facts
- Medicaid recipients in 44 states will need to work, volunteer, go to school, or train for 80 hours monthly by 2027 to keep coverage.
- Nebraska and Montana began these requirements ahead of the 2027 deadline.
- Some groups, like pregnant people, parents of young children, disabled individuals, and veterans with disabilities, are exempt.
- The rule applies mainly to adults aged 19-64 who received Medicaid through the expansion program.
- The policy comes from President Trump’s 2025 budget law called the One Big Beautiful Bill Act.
- Some states and Washington D.C. are suing the federal government, arguing these rules could harm vulnerable people.
- Health experts estimate millions could lose Medicaid because of these work requirements.
- Nebraska’s governor says the rules will help people become more independent through work and community participation.
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