All Roll Calls
Yes: 269 • No: 1
NebraskaLB376109th Legislature 1st and 2nd SessionslegislatureWALLET
Change and eliminate programs and services administered by the Department of Health and Human Services, eliminate various reporting requirements, and change and eliminate powers and duties of the Board of Emergency Medical Services, the Division of Children and Family Services, the Nebraska State Patrol, and the Director of Motor Vehicles
Sponsored By: Health and Human Services Committee
Signed by Governor
Health and Human Services Committee
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Bill Overview
Analyzed Economic Effects
15 provisions identified: 7 benefits, 1 costs, 7 mixed.
Help paying for elemental formula
The state helps pay for amino acid–based elemental formula when a doctor says it is medically necessary. It covers up to 50% of out‑of‑pocket costs, capped at $12,000 per person in a 12‑month period. Funds are first‑come, first‑served. The law removes a prior statewide spending cap.
New Family Support Medicaid help for kids
The state will seek a 3‑year Medicaid waiver to start a Family Support program. Eligible children can get up to $10,000 per year in approved long‑term supports. The program ignores parents’ income when checking a disabled child’s Medicaid eligibility. Families can self‑direct approved services. Enrollment is capped at 850 and depends on state funding and rules the Department will set.
New Medicaid cost-sharing powers, with checks
The Department can set Medicaid premiums, copays, deductibles, and service limits. Most new rules cannot take effect until after the Legislature has had a chance to review them, with narrow exceptions. When limiting services, the Department must carefully consider private duty nurse home health care for disabled people.
Stronger rules for Medicaid provider audits
The law sets guardrails on Medicaid provider audits. Reviews are limited to claims paid in the past 4 years. Record requests for a service are capped at 200 per 180 days, with at least 45 days to respond. Contractors must finish within 180 days after getting all materials, use a same‑specialty clinician, allow electronic records, and offer training. Providers get 30‑day windows for informal consults and appeals and may resubmit claims for clerical or documentation issues. No extrapolated overpayments unless there is a sustained pattern or very high error, and no recoupment when prior authorization was followed; capitated managed‑care claims are excluded. The state may hire recovery contractors and must post yearly metrics; recovered money goes back to Medicaid.
More outdated state laws repealed
Another set of listed state statutes is repealed. Any duties or program rules in those sections end.
Old agency and reporting laws repealed
The law repeals a large set of named state statutes. The duties, authorities, or reports in those sections no longer apply.
State can run premium help program
The Department can contract with companies to support a health insurance premium assistance payment program. The law does not set who qualifies or how much help people get.
More oversight of foster care normalcy
Child‑care institutions that provide foster care must file normalcy plans and reports by July 15 each year. The Department shares them with oversight groups by September 30. These reports are required for foster‑care contracts, but not for facilities outside Nebraska or psychiatric residential treatment facilities.
Hygienists can prescribe rinses, adjust dentures
With Department approval and board‑approved training, licensed dental hygienists can prescribe mouth rinses and fluoride products and make minor denture adjustments. They must show current licensure and professional liability insurance. Permissions can be limited and renewed by rule.
Ongoing checks on Medicaid changes
The Department must monitor how Medicaid rules, plan changes, and waivers are carried out. It must track effects on eligible people and on program spending.
Paramedics can do more lifesaving care
Paramedics can perform all advanced EMT acts, visualized intubation, and surgical cricothyrotomy. Through December 31, 2025, they may also perform acts allowed for EMT‑Intermediates. Care must match their approved paramedic training.
Tighter reins on Medicaid managed care
Managed‑care plans must spend at least 85% of revenue on medical care or return money to a state fund. Administrative costs are capped at 12%. Profit is capped at up to 3% and incentives at up to 2%. The state must award these contracts through competitive bidding.
County support for aid offices ends 2028
A county’s duty to provide office and service space for public assistance at no extra cost to the state now ends June 30, 2028. The rule only covers facilities as they existed on April 1, 1983.
Medicaid pays for kids’ lead tests
If a child is on Medicaid and testing is required by the Medicaid plan, the state pays for lead testing. Families of children not on Medicaid may have to pay the testing cost.
Updated abortion reporting tied to age
Doctors must report abortions when the probable postfertilization age matches the limits in section 71‑6915. Reports go to the Department of Health and Human Services on the department’s schedule and forms.
Sponsors & Cosponsors
Sponsor
Health and Human Services Committee
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 5/30/2025
Final Reading
Yes: 47 • No: 1
legislature vote • 5/21/2025
Vote
Yes: 43 • No: 0 • Other: 6
legislature vote • 5/13/2025
Vote
Yes: 35 • No: 0 • Other: 14
legislature vote • 5/13/2025
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • 5/13/2025
Vote
Yes: 39 • No: 0 • Other: 10
legislature vote • Unknown
Vote
Yes: 39 • No: 0 • Other: 10
legislature vote • Unknown
Vote
Yes: 33 • No: 0 • Other: 16
Actions Timeline
Approved by Governor on June 4, 2025
6/4/2025legislaturePresented to Governor on May 30, 2025
5/30/2025legislaturePresident/Speaker signed
5/30/2025legislaturePassed on Final Reading 47-1*-1
5/30/2025legislatureDispensing of reading at large approved
5/30/2025legislaturePlaced on Final Reading
5/27/2025legislatureAdvanced to Enrollment and Review for Engrossment
5/21/2025legislatureMotion to overrule the Chair failed
5/21/2025legislatureCavanaugh, J. AM1548 not germane
5/21/2025legislatureCavanaugh, J. AM1548 filed
5/21/2025legislatureEnrollment and Review ER89 adopted
5/21/2025legislatureEnrollment and Review ER89 filed
5/19/2025legislaturePlaced on Select File with ER89
5/19/2025legislatureAdvanced to Enrollment and Review Initial
5/13/2025legislatureHealth and Human Services AM411 adopted
5/13/2025legislatureCavanaugh, M. MO68 withdrawn
5/13/2025legislatureCavanaugh, M. MO75 not considered
5/13/2025legislatureCavanaugh, M. MO249 withdrawn
5/13/2025legislatureCavanaugh, M. MO249 Bracket until June 9, 2025 filed
5/13/2025legislatureArch AM1312 adopted
5/13/2025legislatureArch AM1263 withdrawn
5/13/2025legislatureCavanaugh, M. MO86 withdrawn
5/13/2025legislatureArch AM1312 to AM411 filed
5/9/2025legislatureArch AM1263 to AM411 filed
5/1/2025legislaturePassed over
3/19/2025legislature
Bill Text
Introduced
1/16/2025
Enrolled / Slip Law
Final / Enacted
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