Nebraska becomes first state to add new Medicaid federal work requirements [View all]
Source: Nebraska Examiner
More than 30,000 people likely to lose Medicaid coverage from proposal allowed under big, beautiful bill, Gov. Jim Pillen says
By: Juan Salinas II - December 17, 2025 4:56 pm
LINCOLN Nebraska stepped Wednesday toward becoming the first state in the country to start its implementation of new federal work requirements for Medicaid health insurance recipients beginning May 1 of the new year.
Gov. Jim Pillen, joined on Zoom by Administrator of the Centers for Medicare and Medicaid Services Dr. Mehmet Oz and in person by state health officials, rolled out the states plans for the new federal requirement as a hand up and not a hand out.
Were not here to take everybody to the curb
[but] making sure we get every able-bodied Nebraskan to be part of our community, Pillen said.
State health officials said the new requirements apply to work-eligible adults in the Medicaid expansion population aged 19 to 64. Those Medicaid recipients will be required to work at least 80 hours a month or be enrolled in school at least half-time to receive or keep health coverage.

Nebraska Gov. Jim Pillen with Administrator of the Centers for Medicare and Medicaid Services Dr. Mehmet Oz on Dec 17, 2025, in Lincoln. (Juan Salinas II/Nebraska Examiner)
Read more: https://nebraskaexaminer.com/2025/12/17/nebraska-becomes-first-state-to-add-new-medicaid-federal-work-requirements/