Nebraska Appleseed is raising concerns about the implementation of the new Medicaid work requirement expansion, which is set to go into effect on May 1. The group is concerned that tens of thousands of Nebraskans may unnecessarily lose their health insurance. Some believe the state is keeping them in the dark about the requirements. The work requirement activities include working, attending school or an apprenticeship, participating in a work program or volunteering. Additionally, the group is unsure about who will be considered medically frail and exempt from the work requirements. They expect 54,000 more Nebrassans to lose their insurance due to the changes, which could cause a ripple effect on the state's economy.