LINCOLN— Nebraska, the first state to implement new Medicaid work requirements, is reviewing updated federal rules that will require certain Medicaid recipients ages 19 to 64 to work, volunteer, attend school, earn a minimum monthly income, or qualify for an exemption to maintain coverage. The federal requirements are set to take effect nationwide by Jan. 1, 2027.

Advocacy group Nebraska Appleseed argues the federal rules are more restrictive than Nebraska’s current system and could make it harder for people with disabilities or serious medical conditions to keep coverage. The Nebraska Department of Health and Human Services said it is reviewing the guidance but has no plans to pause the program, which is expected to affect about 25,000 Nebraskans enrolled through Medicaid expansion.

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