Health

Access to quality health care is a key element of “The Good Life” because it helps keep Nebraskans working and thriving.

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The Latest from OpenSky

Nebraska to Enact Medicaid Work Requirements 8 months Before Federal Deadline

As OpenSky previously reported, Governor Jim Pillen decided to opt Nebraska into a new set of work requirements for Medicaid recipients beginning today. The May 1 deadline is a full 8 months prior to the deadline imposed by the One Big Beautiful Bill Act and prior to final guidance being

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (4/10/26)

-9.14% According to analysis by the Center on Budget and Policy Priorities, from December 2024 to December 2025, the number of Nebraskans receiving benefits under the Supplemental Nutrition Assistance Program (SNAP) declined by 9.14%, largely credited to changes in eligibility implemented by the One Big Beautiful Bill Act (OBBBA) signed

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (3/13/26)

$3.5 Million Facing a sizeable budget gap, the Nebraska Legislature voted to retain a $3.5 million appropriation to the Department of Labor for private school scholarships this week on a 23-17 vote, with 9 legislators present, but declining to vote. AM 2500, introduced by Senator Tom Brandt, would have removed

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (3/6/26)

$130 million Amid several maneuvers used by the Appropriations Committee to send a balanced budget to the legislative floor for debate next week was a $130 million transfer from the state’s cash reserve. This will be in addition to the $152 million transfer from the reserve approved in 2025, set

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (2/20/26)

$37 million In the January tax receipts report last week, Nebraska showed a net growth of 6.5% over the forecast put forward by the Nebraska Economic Forecasting Advisory Board (NEFAB) in October. This equates to just under $37 million in additional revenue. Fiscal year-to-date receipts are nearly on par with

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (2/6/26)

650% The Nebraska Legislature’s Appropriations Committee began hearings on the mid-biennial budget adjustments this week. The mainline budget bills, LB 1071 and LB 1072, received significant pushback from Nebraskans. Among them was OpenSky Policy Institute’s Research Director, Craig Beck, who raised concerns about the growth of cash fund sweeps and

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (1/23/26)

$152.4 million Governor Jim Pillen released his budget proposal last week, which includes a total of $495 million in spending cuts over the next two fiscal years. The largest share of the proposed cuts are from the Department of Health and Human Services (DHHS), to which the Governor proposed $22

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (1/16/26)

27% KFF, the health policy think tank, indicates that 27% of agricultural sector employees buy health care plans on state marketplaces established by the Affordable Care Act (ACA), compared with just 6% of the adult population with non-group coverage. As a result, agricultural workers are among the highest users of

OpenSkyLIGHTS: Focus on Nebraska fiscal policy (1/9/26)

$8 million The newly-combined Nebraska Department of Water, Energy and Environment (NDWEE) has requested an $8 million transfer from the Nebraska Environmental Trust in their mid-budget requests, which will be evaluated as the Legislature crafts an amendment package to the biennial budget. Of the total sum, $6 million would be

3 Things OpenSky Will be Watching in the Upcoming Legislative Session

Watching our Pennies The Legislature will be navigating a $472 million budget shortfall that will eventually need to be closed in order to meet Constitutional obligations. While one more update of the forecast will occur in February, lawmakers can’t wait that long to begin examining options to balance the budget.

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Health

Health Access to quality health care is a key element of “The Good Life” because it helps keep Nebraskans working and thriving. Key Resources Medicaid Overview “A Healthy Nebraska,” updated in 2023, provides an overview of Medicaid and CHIP funding in Nebraska. Learn More State Budget Overview “Looking for Clarity,”