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Here’s what you need to know:

New federal law (H.R. 1, signed July 4, 2025) made big changes to Medicaid across the country.

Nebraska chose to act early. Nebraska will be the FIRST state to start the new work requirements — starting May 1, 2026.

More changes are coming after May. There are four waves of changes total. This website covers all of them.
Not everyone is affected. Many people are automatically exempt.

The most important thing right now: Make sure Medicaid has your correct contact information.

Quick Check: Does This Affect You?

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You are between 19 and 64 years old

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You are healthy enough to work

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You do not qualify for an exemption

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You are pregnant

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You have a disability or serious health condition

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You take care of a child under 13

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You are under 19 or 65 and older

Not Sure? See the full list on the “Who Is Affected” page.

Know Your Status

Are you in the expansion population? Do you have more questions? We can help.

Learn More