NebraskaLB454109th Legislature 1st and 2nd SessionslegislatureWALLET

Change provisions relating to regional behavioral health authorities and the Behavioral Health Services Fund

Sponsored By: Dan Quick

Signed by Governor

Health and Human Services Committee

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Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 0 costs, 2 mixed.

New fund for community behavioral health

The law creates the Behavioral Health Services Fund run by the state division. The fund holds money the Legislature or department provides for behavioral health services. The fund can pay grants, loans, and other help and can reimburse providers to build community-based services statewide. The Legislature can move money from this fund to the General Fund. Any investable fund money is invested by the state investment officer under Nebraska law.

Uniform behavioral health fees and eligibility

Regional behavioral health boards must set a clear financial-eligibility policy and a single fee and copay schedule. The board must approve these and include them in the annual budget sent to the state. Providers must follow the schedule and cannot charge more than the actual cost. Eligibility methods consider taxable income, household size, liabilities, and other state-set factors. The same rules apply to all providers in the region.

Housing help for very low-income adults

Money moved into the Behavioral Health Services Fund under section 76-903 must pay for housing help for very low-income adults with serious mental illness or substance use disorder. Very low-income means your household income is 50% or less of the HUD median family income for your area. Covered costs include rent, utilities, security deposits, landlord risk mitigation payments, and related costs. If all housing obligations are fully met, up to 20% can go to buy or fix housing for these people. The division distributes funds by formula, contracts with regional authorities, and regions can contract with qualified public, private, or nonprofit groups.

Path for providers to add services

A behavioral health provider can add new services or expand capacity with department approval. The provider must meet network enrollment standards, enroll with the department and a regional authority, and have a regional contract. These steps let qualified providers grow access to care.

New rules for regional behavioral health

Regional behavioral health authorities must plan, budget, report, manage contracts, and coordinate audits for state-funded services. They must follow conflict-of-interest rules, fair public bidding, and keep a separate budget and accounts. Regional authorities generally cannot directly provide services paid by the division unless bidding shows no qualified providers and they get written approval and a contract. Services the regions provided under old law on July 1, 2004 stay exempt. The law repeals earlier code sections as part of this reorganization.

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Sponsors & Cosponsors

Sponsor

  • Dan Quick

    legislature

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 215 • No: 2

legislature vote 4/24/2026

Vote

Yes: 33 • No: 0 • Other: 16

legislature vote 4/24/2026

Vote

Yes: 34 • No: 0 • Other: 15

legislature vote 5/29/2025

Final Reading

Yes: 46 • No: 2

legislature vote 5/9/2025

Vote

Yes: 35 • No: 0 • Other: 14

legislature vote 5/9/2025

Vote

Yes: 33 • No: 0 • Other: 16

legislature vote 5/9/2025

Vote

Yes: 34 • No: 0 • Other: 15

Actions Timeline

  1. Approved by Governor on June 4, 2025

    6/6/2025legislature
  2. Passed on Final Reading 46-2*-1

    5/29/2025legislature
  3. President/Speaker signed

    5/29/2025legislature
  4. Presented to Governor on May 29, 2025

    5/29/2025legislature
  5. Placed on Final Reading

    5/27/2025legislature
  6. Enrollment and Review ER83 adopted

    5/21/2025legislature
  7. Advanced to Enrollment and Review for Engrossment

    5/21/2025legislature
  8. Placed on Select File with ER83

    5/14/2025legislature
  9. Enrollment and Review ER83 filed

    5/14/2025legislature
  10. Quick AM952 adopted

    5/9/2025legislature
  11. Health and Human Services AM547 adopted

    5/9/2025legislature
  12. Advanced to Enrollment and Review Initial

    5/9/2025legislature
  13. Quick AM952 to AM547 filed

    4/8/2025legislature
  14. Speaker priority bill

    3/17/2025legislature
  15. Placed on General File with AM547

    3/14/2025legislature
  16. Health and Human Services AM547 filed

    3/14/2025legislature
  17. Notice of hearing for February 28, 2025

    2/7/2025legislature
  18. Referred to Health and Human Services Committee

    1/23/2025legislature
  19. Date of introduction

    1/21/2025legislature

Bill Text

  • Introduced

    6/6/2025

  • Enrolled / Slip Law

  • Final / Enacted

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