Nebraska becomes first state to implement Trump-era Medicaid work requirements

Nebraska will implement a Medicaid work requirement for certain able-bodied adults, a policy originally approved under the Trump administration. The rule requires beneficiaries to document 80 hours of work, education, or community service per month. Non-compliance can lead to loss of coverage. State officials estimate the policy could affect tens of thousands. Practices with a significant Medicaid patient base in Nebraska should prepare for potential coverage disruptions and increased front-desk questions about eligibility. Staff should be briefed on the new documentation requirements and disenrollment timeline by the state's go-live date.