All Roll Calls
Yes: 187 • No: 0
NebraskaLB1091109th Legislature 1st and 2nd SessionslegislatureWALLET
Provide requirements for the Department of Health and Human Services for long-term care clients with special needs under the medical assistance program
Sponsored By: Eliot Bostar
Signed by Governor
Health and Human Services Committee
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Medicaid special-needs nursing care stays outside managed care
The law keeps nursing home care for long-term care clients with special needs out of managed care. These services are paid through fee-for-service or another allowed system. Providers do not have to join a managed care network to serve these clients. Managed care plans may still coordinate other benefits or give wraparound help, but they do not manage or take risk for the nursing care.
Pause on moving long-term care into managed care
Through July 1, 2023, the law bars the Department from adding long-term care services to managed care. The pause covers nursing homes, assisted living, and home and community-based services. The Department must update managed care contracts and enrollment steps within six months after the law takes effect.
Sponsors & Cosponsors
Sponsor
Eliot Bostar
legislature
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/24/2026
Vote
Yes: 46 • No: 0 • Other: 3
legislature vote • 4/10/2026
Final Reading
Yes: 49 • No: 0
legislature vote • 3/25/2026
Vote
Yes: 46 • No: 0 • Other: 3
legislature vote • 3/25/2026
Vote
Yes: 46 • No: 0 • Other: 3
Actions Timeline
Presented to Governor on April 10, 2026
4/17/2026legislatureApproved by Governor on April 14, 2026
4/17/2026legislaturePassed on Final Reading 49-0-0
4/10/2026legislaturePresident/Speaker signed
4/10/2026legislaturePlaced on Final Reading
4/7/2026legislatureKauth FA750 withdrawn
4/1/2026legislatureAdvanced to Enrollment and Review for Engrossment
4/1/2026legislaturePlaced on Select File
3/30/2026legislatureHealth and Human Services AM2381 adopted
3/25/2026legislatureAdvanced to Enrollment and Review Initial
3/25/2026legislaturePlaced on General File with AM2381
3/5/2026legislatureHealth and Human Services AM2381 filed
3/5/2026legislatureProkop priority bill
2/19/2026legislatureNotice of hearing for February 18, 2026
2/10/2026legislatureReferred to Health and Human Services Committee
1/20/2026legislatureKauth FA750 filed
1/16/2026legislatureDate of introduction
1/15/2026legislature
Bill Text
Introduced
4/17/2026
Enrolled / Slip Law
Final / Enacted