Overview
- Gov. Jim Pillen announced the rollout alongside CMS Administrator Mehmet Oz, who voiced support for the policy.
- State officials estimate about 30,000 Nebraskans will be subject to the new rules, and roughly 70,000 expansion enrollees will receive notices.
- Exemptions include pregnant people, those who are disabled or medically frail, caregivers of young or disabled dependents, recently incarcerated people, people experiencing homelessness, and those in addiction treatment.
- Nebraska plans no increase in state staffing despite added verification and IT demands created by the six‑month paperwork cycle.
- The Congressional Budget Office projects large Medicaid savings nationally but millions more uninsured annually starting in 2027, with little expected employment gain.