Nebraska becomes first U.S. state to enact Medicaid work requirements
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Nebraska has become the first U.S. state to implement Medicaid work requirements, ahead of the January 2027 federal deadline. The rules apply to working-age adults enrolled in Medicaid expansion and require 80 hours of work or community service monthly, with certain exemptions. Experts warn the policy could lead to coverage losses, particularly due to administrative hurdles rather than noncompliance.
- ▪Nebraska implemented Medicaid work requirements seven months before the federal deadline of January 1, 2027.
- ▪Approximately 25,000 Medicaid expansion enrollees in Nebraska could lose coverage, according to estimates by The Urban Institute.
- ▪Exemptions to the work requirements include individuals with medical conditions, pregnant women, and caregivers of disabled persons.
- ▪Other states planning to implement the requirements by year-end include Iowa, Montana, and Nebraska, though Montana and Iowa have later start dates.
- ▪States are awaiting federal guidance on defining 'medically frail,' a key exemption category under the new rules.
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MoneyWatch Nebraska becomes first U.S. state to enact Medicaid work requirements .chip { background-image: url('/fly/bundles/cbsnewscore/images/chip-bgd/chip-bgd-moneywatch.jpg'); } By Aimee Picchi Aimee Picchi Associate Managing Editor, MoneyWatch Aimee Picchi is the associate managing editor for CBS MoneyWatch, where she covers business and personal finance. She previously worked at Bloomberg News and has written for national news outlets including USA Today and Consumer Reports. Read Full Bio Aimee Picchi Updated on: May 1, 2026 / 1:17 PM EDT / CBS News Add CBS News on Google Nebraska on Friday became the first U.S.
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