All Roll Calls
Yes: 71 • No: 5
NebraskaLB365A109th Legislature 1st and 2nd SessionslegislatureWALLET
Appropriation Bill
Sponsored By: Dan Quick
Signed by Governor
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 5 benefits, 0 costs, 0 mixed.
More Medicaid help after childbirth
The law requires the Department to seek federal approval by Oct 1, 2023 to extend postpartum Medicaid from 60 days to at least 6 months, with an option for 12 months. Beginning Jan 1, 2025, Medicaid covers a personal electric breast pump at 36 weeks of pregnancy or at birth, and at least 10 lactation visits per mother (or for the child if the mother is not covered). The state funds lactation visits at a rate equal to a 145% increase over the current rate. Beginning Jan 1, 2027, Medicaid covers home blood pressure monitoring for pregnant and postpartum people, including training, daily readings, and sending data to your provider. By Oct 1, 2025, the Department must seek federal approval to add nurse home‑visiting case management for postpartum mothers and babies under 6 months, paid from the Medicaid Managed Care Excess Profit Fund.
Broader Medicaid coverage for CGMs
Starting Jan 1, 2023, Medicaid covers continuous glucose monitors (CGMs) when you have a prescription. Beginning Aug 1, 2024, coverage also applies to everyone who meets the local coverage rules in effect Jan 1, 2024, and it includes gestational diabetes. The Legislature sets an annual $600,000 appropriation from the Medicaid Managed Care Excess Profit Fund for the 2024 expansion, with any extra costs also paid from that fund.
Medical respite for homeless adults
The law requires the Department to apply by Oct 1, 2025 to cover medical respite care at two sites—one in a metropolitan‑class city and one in a primary‑class city—for homeless adults in the Medicaid expansion group. Services are funded from the Medicaid Managed Care Excess Profit Fund. If launched, the Department reports each year on counts, costs, and any health care cost reductions.
More Medicaid behavioral health options
Medicaid covers community-based secure residential and subacute behavioral health services for eligible people, whether or not a mental health board ordered them. The law required the Department to seek federal approval by July 1, 2009. Beginning Jan 1, 2026, Medicaid also pays for psychology care from advanced‑level practitioners who finished required training and work under a licensed psychologist.
Language help covered in Medicaid
Beginning Jan 1, 2024, Medicaid pays for needed translation and interpretation during covered services. The services use the Medicaid Managed Care Excess Profit Fund, and the state seeks the maximum federal match.
Sponsors & Cosponsors
Sponsor
Dan Quick
legislature
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/9/2026
Final Reading
Yes: 44 • No: 5
legislature vote • 2/6/2026
Vote
Yes: 27 • No: 0 • Other: 22
Actions Timeline
Approved by Governor on April 14, 2026
4/17/2026legislaturePresident/Speaker signed
4/10/2026legislaturePresented to Governor on April 10, 2026
4/10/2026legislaturePassed on Final Reading 44-5*-0
4/9/2026legislaturePlaced on Final Reading
2/23/2026legislatureAdvanced to Enrollment and Review for Engrossment
2/12/2026legislaturePlaced on Select File
2/10/2026legislatureAdvanced to Enrollment and Review Initial
2/6/2026legislatureDate of introduction
2/4/2026legislaturePlaced on General File
2/4/2026legislature
Bill Text
Introduced
4/17/2026
Enrolled / Slip Law
Final / Enacted