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It's Day 1 of Medicaid work requirements in Nebraska. People are worried

Nebraska, starting Friday, May 1, becomes the first state to require certain Medicaid enrollees to work

People with cancer or HIV could lose Medicaid under new work rules, advocates say

Nebraska. People are worried](https://www.npr.org/2026/05/01/nx-s1-5806260/trump-medicaid-work-requirements-nebraska-big-beautiful-bill-hr1-obbba) States must put the work requirements into effect by January 1. That was already a tight timeline, says [Adrianna McIntyre](https://hsph.harvard.edu/profile/adrianna-mcintyre/), assistant professor of health policy

They counted on a rural dialysis unit to keep them alive. Then it closed

Medicaid Services Mehmet Oz look on during a rural health roundtable on January 16, 2026 in Washington, DC.](https://npr.brightspotcdn.com/dims3/default/strip/false/crop/683x683+171+0/resize/100/quality/85/format/jpeg/?url=http%3A%2F%2Fnpr-brightspot.s3.amazonaws.com%2Ff1%2F0c%2F5bfcb18b4f1ca248b41d59eae1cb%2Fgettyimages-2256600642.jpg)](https://www.npr.org/2026/01/28/nx-s1-5690370/rural-health-fund-states-hospitals) ### [Health](https://www.npr.org/sections/health/) ### [Here's what to know about the $50 billion states