Nebraska to Implement New Medicaid Requirements
Dec 17, 2025
Courtesy of Nebraska Governor's Office. LINCOLN–(KFOR/News Release Dec. 17)–Nebraska will become the first state to implement new work requirements for some people on Medicaid, under the “one big beautiful bill” signed by President Trump.
Those requirements in Nebraska will start May 1, acco
rding to Governor Jim Pillen. Able-bodied adults between 19 and 64-years-old that work or perform community service at least 80 hours a month or be enrolled in school at least half-time can receive and keep Medicaid coverage.
Other qualifications include:
Eligibility is based on income up to 138 percent of the federal poverty level (in 2025 for a single person was $21,610, or for a family of four was $44,380).
Work requirement activities are requirements that Medicaid expansion members and applicants must meet in order to receive coverage through Nebraska Medicaid.
Qualifying work requirement activities include employment, attendance at school, participation in an apprenticeship, participation in an approved work program, or volunteering.
Nebraska Medicaid will use available data to verify compliance during application and renewal. If verification cannot be completed, members will be responsible for submitting documentation. Individuals found non-compliant will receive notice and have 30 days to meet the requirement or claim an exemption before denial or disenrollment.
Exemptions:
Certain individuals are excluded from this requirement, including:
People who are disabled
People who are currently in foster care
People through age 25 who aged out of foster care
Members of recognized Native American tribes
Pregnant women
Parents or guardians of children up to age 13
Caregiver of an individual with disabilities
Disabled veterans (with a ‘total’ disability status)
People who are medically frail
People compliant with work requirements under the SNAP or TANF programs
People receiving treatment for a substance use disorder
People who are incarcerated or have been within the last 90 days
People who qualify for Medicare Part A or Part B
Individuals seeking assistance with employment opportunities may use the Nebraska Department of Labor’s NEworks job service at neworks.nebraska.gov.
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