Nebraska plans to become the first state in the nation to implement work requirements for certain Medicaid recipients, with Gov. Jim Pillen and federal health officials announcing an accelerated rollout under provisions of the One Big Beautiful Bill Act (OBBB).
At a Dec. 17 news conference, Pillen said the state has formally notified the Centers for Medicare & Medicaid Services (CMS) of its intent to require Medicaid expansion enrollees to meet work or community engagement standards beginning May 1, 2026—well ahead of the federal compliance deadline.
The event was also attended by Nebraska Department of Health and Human Services CEO Steve Corsi, and remotely by CMS Administrator Dr. Mehmet Oz….