Roughly 200 Nebraskans lost their Medicaid coverage on August 1, becoming the first Americans removed from the program under work requirements created by last year's federal budget law. In Nebraska, roughly 72,000 people in the expansion group fall under it, out of about 346,000 enrolled statewide. Arkansas implemented work requirements in 2018 before a federal judge blocked the policy, and Georgia has operated a version since 2023. Nebraska became the first state to remove people from Medicaid for failing to meet new federal work requirements. The state's Medicaid director projected roughly 200 people would lose coverage.