Schmeeka Simpson of Omaha works as a patient navigator for the American Civil Liberties Union and an administrative assistant at Nebraskans for Peace, plus picks up shifts at a Dunkin’ shop. Still, even with three jobs, she worries about losing her health coverage when Nebraska, on May 1, becomes the first state to require certain Medicaid enrollees to work, train, or go to school under a rule mandated by congressional Republicans’ One Big Beautiful Bill Act.
Simpson, 46, has relied on Medicaid since her divorce in 2014. None of her employers offers health coverage.
She said she lost her government food assistance after technical problems caused her to miss renewing in time, and she doesn’t trust the state to implement the new work rules without problems. Nebraska Medicaid officials say they are trying to make it as easy as possible for enrollees to comply, so people don’t lose their coverage for administrative reasons, such as failing to file the proper paperwork.
Enrollees with one of thousands of health conditions detailed by the state would be exempt.
KFF Health News published a clinical update in Research Highlights on 29 Apr 2026.
The item focuses on Trump’s Medicaid Work Mandate Debuting in Nebraska to Much Dismay.
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