President Donald Trump and Republican members of Congress at the signing ceremony for his tax cut and spending bill on July 4, 2025. That law makes it a requirement for many adults who get Medicaid to prove that they are working.

Starting May 1, many people covered by Medicaid in Nebraska have to prove they are working. It’s a requirement most states will have to implement under President Trump’s budget law, beginning in January.

(Image credit: Julia Demaree Nikhinson)