Nebraska Becomes First State to Implement Work Requirements for Medicaid Under the One Big Beautiful Bill Act
Nebraska will become the first state to remove residents from Medicaid coverage on August 1 due to new work requirements established by the One Big Beautiful Bill Act. The administration announced that the law, signed by President Trump, requires enrollees aged 19 to 64 to document 80 hours of work, community service, or schooling each month to maintain benefits. While the administration claims these requirements will help move people toward economic stability and save the federal government $325 billion over 10 years, opponents argue that previous policies led to many people losing coverage due to paperwork confusion. The administration also announced that the law will result in 7.5 million more Americans being uninsured by 2034. Meanwhile, Democrats have alleged that the bill has already caused 8 million people to lose health insurance. However, experts suggest that much of this decline is due to the expiration of subsidies rather than the bill's direct effects. Nebraska's Medicaid Director Drew Gonshorowski stated that the state is using its own eligibility system to ensure a hands-on process for the 30,000 residents subject to the requirements.