Nebraska Launches First Medicaid Work-Requirement Test Ahead of National Rollout

Nebraska will become the first state to enforce Medicaid work requirements on May 1, testing a policy Congress approved last year as the national deadline looms, but critics warn the rushed rollout and lack of staff could push tens of thousands off coverage, particularly in rural areas, with estimates ranging from about 16,000 to 54,000 Nebraskans losing insurance; the state argues it can manage in-house IT and will rely on exemptions and self-attestation, while federal guidance and other states watch closely.