Nebraska Gov. Jim Pillen announced that his state is moving forward as the first in the nation to pursue work requirements for Medicaid expansion recipients, with implementation targeted for May 1, 2026.
Pillen was joined by Centers for Medicare and Medicaid Services Administrator Dr. Mehmet Oz and Nebraska Department of Health and Human Services CEO Steve Corsi at a news conference, where the governor signed a letter to CMS outlining Nebraska’s intent to adopt the requirements ahead of a federal deadline.
The policy stems from HR 1, known as the One Big Beautiful Bill, which requires able-bodied adults in the Medicaid expansion population to engage in work or other qualifying activities as a condition of receiving benefits.
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