Schmeeka Simpson of Omaha works as a patient navigator for the American Civil Liberties Union and an administrative assistant at Nebraskans for Peace, plus picks up shifts at a Dunkin' shop. Still, even with three jobs, she worries about losing her health coverage as Nebraska, starting Friday, May 1, becomes the first state to require certain Medicaid enrollees to work, train, or go to school under a rule mandated by congressional Republicans' One Big Beautiful Bill Act.