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Nebraska

  • Uninsured Rate for Young Children Rose More Sharply than for Older Children from 2022-2024

    Key Findings The number of infants, toddlers and preschoolers who are uninsured is at the highest level in nearly a decade and is increasing more sharply than for older children. The number of uninsured children under age 6 grew by 23% between 2022 and 2024, while the number of uninsured school-aged children grew by 17%. The charts and appendix…

  • Congress Wanted to Protect People Living in Areas with High Unemployment from Losing Health Care Due to Work Reporting Requirements. Will it Actually Happen?

    During the Congressional debate about the passage of H.R. 1, many concerns were raised about the adoption of a mandatory work reporting requirement for people covered by Medicaid expansion – including the risks of people living in areas with high unemployment losing health coverage despite their best efforts to find work. In response, statutory language…

  • Which Parents Will be Impacted by Medicaid Work Reporting Mandate?

    A new work reporting requirement for adults in Medicaid is one of the most widely publicized provisions in the Trump budget reconciliation bill (H.R. 1) passed last year and accounts for a great deal of the projected coverage loss and cuts to Medicaid. In fact, a new study from the Urban Institute estimates that between…

  • Tracking Nebraska Implementation of H.R. 1 Medicaid Work Reporting Requirements

    Medicaid Enrollment Trends The CCF Enrollment Tracker uses the most recent monthly administrative data from state websites and the Centers for Medicare & Medicaid Services (CMS). State administrative data is often the quickest way to assess what is happening in a state’s Medicaid program. Nebraska is one of 16 states where only CMS data –…

  • Is Your State Leaving Money on the Table? How CHIP Health Service Initiatives Can Help States Support Children’s Access to Care

    At a time when states are facing growing fiscal pressures and increasing strain on health systems, the Children’s Health Insurance Program (CHIP) Health Services Initiatives (HSIs) represent an often overlooked source of federal funding offering flexible financing to support outreach and targeted health initiatives to improve children’s health. This source of federally-matched funding becomes increasingly…

  • Community Health Workers are a Focus of Rural Health Transformation Applications

    Awards for the Rural Health Transformation (RHT) program were released on December 29, 2025, and state applications with proposals for the funds have been made public, covering a range of activities aiming to increase access to care, develop infrastructure, and enhance workforces. As we’ve written about previously, community health workers (CHWs) are a critical workforce…

  • State by State Medicaid and CHIP Enrollment Data

    This tracker shows enrollment data for Medicaid and the Children’s Health Insurance Program (CHIP) in all 50 states and DC, from January 2025 to the most recent month available. Data include total Medicaid/CHIP enrollment, as well as enrollment for children, adults, and Medicaid expansion. Historical data are also included to provide additional context for state…

  • Medicaid’s Role in Small Towns and Rural Areas

    Key Findings Background One-fifth of people in the United States live in areas that are classified as non-urban. Residents of rural areas and small towns face additional challenges accessing needed health services compared to residents of metro areas for a variety of reasons including acute provider shortages, limited connectivity, and long distances to travel to…

  • Medicaid Coverage in Metro and Small Town/Rural Counties, 2023

    Click on a state below to view rates of Medicaid coverage in Metro and Small Town/Rural counties. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New…

  • Nebraska Uses State Medicaid Managed Care Excess Profit Fund to Leverage New Federal Home Visiting, Medicaid Dollars

    While its neighbor Iowa cut access to prenatal care, Nebraska invested in new supports for maternal and early childhood health.  Nebraska is one of the 37 managed care states with a state Medicaid Medical Loss Ratio (MLR). MLRs help limit public dollars’ support of exorbitant profits for the private, for-profit managed care organizations (MCOs), the…

  • Medicaid Managed Care Excess Profits and Maternal and Early Childhood Health in Nebraska

    Like most states, Nebraska contracts with managed care organizations (MCOs) to deliver covered services to people enrolled in Medicaid. Unlike most states, Nebraska operates a Medicaid Managed Care Excess Profit Fund. Established in 2020, the Excess Profit Fund holds profits that MCOs are required to return to the state, remittances from MCOs in the event…

  • State Medicaid and CHIP Snapshots, 2023

    The Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP) created factsheets underscoring the importance of Medicaid in providing coverage for children in all 50 states and the District of Columbia. Sources available here. Previous snapshots can be found here (2019), here (2018) and here (2017).  Check out more interactive…

  • Pandemic Induced Pragmatism: The State of Medicaid Waiver Policy

    Amongst other ways in which life has dramatically changed in the last month, Section 1115 Medicaid waiver terrain has experienced a tectonic shift. For those of us who have been responding to massive numbers of public comment periods over the past two-plus years, only one waiver opened for public comment that we are commenting on…

  • Nebraska could pave the way forward for Medicaid work requirements

    Modern Healthcare Nebraska’s two-tiered approach to Medicaid expansion has spawned interest among health wonks because its work requirement could stand up to legal scrutiny. … “Does this comport with the objectives of the Medicaid program, which is to provide health coverage to vulnerable people?” said Joan Alker, executive director and a co-founder of the Center…

  • Nebraska Two-Tiered Approach to Medicaid Expansion

    Modern Healthcare By: Michael Brady Nebraska’s two-tiered approach to Medicaid expansion has spawned interest among health wonks because its work requirement could stand up to legal scrutiny… “Does this comport with the objectives of the Medicaid program, which is to provide health coverage to vulnerable people?” said Joan Alker, executive director and a co-founder of the…

  • States that Expanded Medicaid are Helping to Protect Children from Becoming Uninsured

    Our annual report on the state of children’s coverage is out. It’s a deep dive into a disturbing trend – children across the country are losing affordable health coverage, rolling back gains started with the Affordable Care Act.  One main cause of this drop in coverage is easily fixed.  The 14 states that haven’t expanded…