NebraskaLB22109th Legislature 1st and 2nd SessionslegislatureWALLET

Require the Department of Health and Human Services to file a state plan amendment for evidence-based nurse home-visitation services

Sponsored By: George Dungan

Signed by Governor

Health and Human Services Committee

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Nurse home visits for Medicaid parents

The law adds in‑home nurse visits as a Medicaid service for postpartum mothers and babies up to six months old. By October 1, 2025, the Department must seek federal approval so Medicaid can cover and match this service. Visits happen in the home and are provided by a nurse. The Medicaid Managed Care Excess Profit Fund is used to pay for this service instead of the General Fund.

Stronger standards for family home visits

The law funds only evidence‑based home visiting programs with a clear model, a manual, trained and culturally competent staff, and ongoing quality checks. State‑funded visits must be regular and done by nurses, social workers, early childhood or health professionals, or trained, supervised lay workers. Families can decline services at any time. State money can pay for staff training and certification to build the workforce. Programs that offer only one or rare visits are not covered by this Act. The Department can set rules to run the program.

Sponsors & Cosponsors

Sponsor

  • George Dungan

    Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 340 • No: 0

legislature vote • 4/3/2025

Final Reading

Yes: 47 • No: 0 • Other: 2

legislature vote • 3/11/2025

Vote

Yes: 44 • No: 0 • Other: 5

legislature vote • 3/11/2025

Vote

Yes: 38 • No: 0 • Other: 11

legislature vote • 2/10/2025

Vote

Yes: 43 • No: 0 • Other: 6

legislature vote • 2/10/2025

Vote

Yes: 43 • No: 0 • Other: 6

legislature vote • Unknown

Vote

Yes: 43 • No: 0 • Other: 6

legislature vote • Unknown

Vote

Yes: 44 • No: 0 • Other: 5

legislature vote • Unknown

Vote

Yes: 38 • No: 0 • Other: 11

Actions Timeline

  1. Provisions/portions of LB104 amended into LB22 by AM348

    6/6/2025legislature
  2. Approved by Governor on April 9, 2025

    4/9/2025legislature
  3. Presented to Governor on April 3, 2025

    4/3/2025legislature
  4. President/Speaker signed

    4/3/2025legislature
  5. Passed on Final Reading 47-0-2

    4/3/2025legislature
  6. Dispensing of reading at large approved

    4/3/2025legislature
  7. Enrollment and Review ST10 recorded

    3/17/2025legislature
  8. Enrollment and Review ST10 filed

    3/17/2025legislature
  9. Placed on Final Reading with ST10

    3/17/2025legislature
  10. Advanced to Enrollment and Review for Engrossment

    3/11/2025legislature
  11. Raybould AM348 adopted

    3/11/2025legislature
  12. Dungan AM258 adopted

    3/11/2025legislature
  13. Raybould AM348 filed

    2/25/2025legislature
  14. Placed on Select File

    2/18/2025legislature
  15. Dungan AM258 filed

    2/12/2025legislature
  16. Advanced to Enrollment and Review Initial

    2/10/2025legislature
  17. Health and Human Services AM102 adopted

    2/10/2025legislature
  18. Health and Human Services AM102 filed

    2/5/2025legislature
  19. Placed on General File with AM102

    2/5/2025legislature
  20. Conrad name added

    1/14/2025legislature
  21. Notice of hearing for January 23, 2025

    1/13/2025legislature
  22. Referred to Health and Human Services Committee

    1/13/2025legislature
  23. Date of introduction

    1/9/2025legislature

Bill Text

  • Introduced

    1/9/2025

  • Enrolled / Slip Law

  • Final / Enacted

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