Nebraska · Medicaid and SNAP

Nebraska Medicaid work requirements: the 80-hour rule

In force now

Nebraska's rule is already in force. It started May 1, 2026.

Who to contact in Nebraska

Online account	iserve.nebraska.gov
Phone	855-632-7633
TDD	402-471-7256

Who has to meet it

The rule applies to adults aged 19 to 64 covered through Medicaid expansion, unless you qualify for an exemption (below).

What counts toward the 80 hours

Work
School
Job training
Community service/volunteer

You can mix them. Twenty hours of work and sixty hours of volunteering is 80 hours.

Income instead of hours

Nebraska also accepts earning at least $580 a month instead of counting hours. That is 80 hours at the federal minimum wage. If your pay stubs show $580 or more, you may not need to log hours at all.

How and when it is checked

Nebraska checks your hours at renewal, in your own renewal month. The first checks covered coverage periods ending on or after July 31, 2026. There is no monthly report to send.

The state must look at payroll and other records it already has before it asks you. If those records do not show your hours — common for gig work, self-employment, school and volunteering — you will be asked to prove them. That is why it pays to keep pay stubs, school schedules and volunteer letters from now on.

Who is exempt

Under federal law you do not have to meet the 80 hours if any of these is true:

You are pregnant or recently gave birth.
You are a parent or caretaker of a child aged 13 or younger.
You care for someone with a disability.
You are “medically frail” — this includes serious mental illness, substance use disorder, and physical or mental conditions that limit daily life.
You receive SSI or SSDI disability benefits.
You are a member of a federally recognized tribe or eligible for Indian Health Service care.
You are in a substance use disorder treatment program.
You already meet the SNAP or TANF work requirement.
You are incarcerated, or were released in the last 90 days.
You are a veteran with a total disability rating.

Being exempt is usually not automatic. You may have to tell the state, and show proof, before it counts.

SNAP has its own 80-hour rule — already in force

Since November 1, 2025, adults aged 18 to 64 without children under 14 at home must work, train or volunteer 80 hours a month to keep SNAP longer than 3 months in any 3 years.

Parents of children 14 or older are no longer exempt.
Veterans, people experiencing homelessness and former foster youth lost their exemption in 2025. This is the most common misunderstanding.
Native Americans and people eligible for Indian Health Service care are now exempt at every age.

Good news: if you meet SNAP's 80 hours, that also counts for Medicaid. One log covers both.

What to do now

Check your mailing address at iserve.nebraska.gov. Many people who lose coverage under rules like this are still eligible — they miss a letter.
Find your renewal date. It is on your last renewal letter, or ask the state. That is when your hours get checked.
See if you are exempt using the list above. If you are, tell the state now rather than at renewal.
Start keeping proof today. Pay stubs, class schedules, signed volunteer hours. A photo on your phone is fine.
Open every letter from the state the day it arrives. Deadlines can be short.

Free app — November 2026

WorkedMy80 logs your hours, reads your pay stubs, explains letters from the state in plain language, and reminds you before your renewal. It is free, it never asks for your Social Security number, and it never sends anything to the state for you. Learn more.

Common questions

When does the Medicaid work requirement start in Nebraska?

Nebraska's rule is already in force. It started May 1, 2026.

How many hours do I need for Medicaid in Nebraska?

80 hours a month of work, school, job training or community service, or a mix. Nebraska also accepts $580 a month in earnings instead.

Who do I call about Medicaid in Nebraska?

Call 855-632-7633. Or sign in online at https://iserve.nebraska.gov.

Do veterans have to meet the SNAP work requirement now?

Yes, unless another exemption applies. The 2025 law removed the exemption for veterans, people experiencing homelessness and former foster youth.

Sources

Rules last checked September 14, 2026; phone and website last checked September 14, 2026. Rules are still changing. If something here is wrong, tell us and we will fix it fast.