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: 11 benefits, 0 costs, 4 mixed.
Help paying for elemental formula
The state helps pay for amino acid–based elemental formulas when a doctor orders them as medically necessary for listed conditions. It pays up to 50% of your out‑of‑pocket cost, up to $12,000 per person in each 12‑month period. Money is first‑come, first‑served and not an entitlement. DHHS reports on the program by December 15 each year.
New $10,000 support for disabled children
A three‑year Medicaid waiver creates a family support program for children with intellectual or developmental disabilities. Each eligible child can get up to $10,000 per year for services. The program ignores parents’ income when deciding the child’s Medicaid eligibility and lets families self‑direct services. It serves no more than 850 people and includes yearly reports through December 31, 2027.
More normal activities for foster youth
Foster care providers must have a trained onsite official who can use the reasonable and prudent parent standard. They must tell youth how to ask to join age‑appropriate activities and file a normalcy plan and an annual normalcy report by June 30. DHHS must make these available by September 1 each year. Institutions outside Nebraska and psychiatric residential treatment facilities are exempt; youth treatment centers must follow the rules.
Safer standards at youth centers
Youth rehabilitation centers must provide safe living space, proper health care, enough trained staff, quick evaluations, and school credits accepted by any Nebraska public school. Each center must be accredited and send an annual report by July 15. Room confinement over one hour needs written supervisor approval and detailed records, with quarterly reports and Inspector General review. DHHS must also file quarterly grievance reports that show counts, categories, and actions taken.
Stronger Medicaid plan spending rules
Medicaid managed care plans must spend at least 85% of revenue on medical care. Their admin costs cannot be over 12%, profits cannot be over 3%, and incentives are capped at 2%. DHHS cannot make rules that raise premiums, copays, deductibles, or cut covered services take effect until the Legislature has had a chance to review them. Before adopting major Medicaid rules or state plan changes, DHHS must send a report by December 1 that explains the rule and its impact on people and spending.
Tighter limits on Medicaid audits
Auditors can only review Medicaid claims paid in the last 4 years. They must give at least 10 business days’ notice for onsite audits and decide within 180 days after they get all records. Record requests are capped at 200 in any 180 days, with at least 45 days to respond. Extrapolated overpayments are banned unless there is a sustained pattern or very high error rate. Initial contingent fees are capped at 12.5%, and recoveries usually wait until appeals end unless there is credible fraud.
Keep local assistance offices open
Counties must keep public assistance offices and service sites, as they existed on April 1, 1983, open at no extra cost to DHHS through June 30, 2028. A county may ask DHHS to review changes. DHHS has 30 days to respond and makes the final decision.
More support for disability services
The ICF/DD fund pays in this order each year: $55,000 for administration, tax‑cost reimbursements to facilities, $312,000 plus federal match for community providers, $1,000,000 to the General Fund, then rebasing and enhancing rates for non‑state facilities. The state reports collections and payments by December 1 each year. DHHS must also run a quality improvement plan for developmental‑disability services using best practices and outside evaluators, and send annual outcomes reports by September 30.
Stronger EMS skills and disease alerts
Paramedics can do advanced airway procedures, including visual intubation and surgical cricothyrotomy. Until December 31, 2025, they may also perform acts allowed for EMT‑intermediates. The EMS Board must recommend a statewide communications plan. If a patient has an airborne infectious disease, facilities must alert DHHS within 48 hours; DHHS must notify affected responders within 48 hours orally and 72 hours in writing. Provider agencies pay for required testing, except certain free emergency care providers.
Stronger cancer and health registries
DHHS runs a statewide cancer registry and may use data for research. Hospitals and Nebraska doctors and dentists must provide cancer data at least yearly; failure is a Class V misdemeanor. Reporters and DHHS have legal immunity when they follow the law. Contracts for research must restrict funds to cancer work and give detailed expense reports; no more than $200,000 funds the registry and no more than half of certain funds go to UNMC/Eppley. The law defines which cancers must be reported and folds birth defects, brain injury, and Parkinson’s into the registry framework. DHHS must publish statistical reports.
Easier maternity acknowledgment at birth
If the biological mother is not the birth mother, the hospital must offer forms and instructions for a notarized acknowledgment of maternity. When both sign and file it with the birth certificate, DHHS lists the biological mother and not the birth mother. Either person can rescind within 60 days or sooner if a case starts. DHHS may accept electronic copies and charge a small fee.
Faster mental health records in gun checks
DHHS gives the State Patrol only the information needed to decide handgun disqualification. Court clerks must send commitment and discharge records within 30 days. Records must be updated or removed quickly, and DHHS and the State Patrol must publish database metrics twice a year. Good‑faith reporters are protected, and intentional improper requests are a Class II misdemeanor.
Better child support reporting and staffing
DHHS must report each year by January 31 on State Disbursement Unit and Customer Service Unit performance, including dollars collected, disbursement speed, and call handling. The Customer Service Unit must be located in Nebraska and hire or contract staff equal to at least 0.25% of the county labor force, with preference to clerk‑of‑court employees. DHHS must also report by February 1 on section 43‑512 program results, including participants, jobs, support services, grant reductions, and a cost‑benefit statement.
Repeals of certain health statutes
The law repeals many listed sections from Nebraska statutes. The rules in those sections no longer apply. The effect on households depends on what each repealed section previously did.
Annual abortion reports and statistics
Doctors who perform or attempt abortions must file reports with DHHS. Reports include post‑fertilization age and how it was determined, any medical‑emergency basis, reasons for abortions at 20 weeks or more, and the method used. DHHS publishes a public statistics report by June 30 each year for the prior calendar year.
Sponsors & Cosponsors
Sponsor
Health and Human Services Committee
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/24/2026
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • 4/24/2026
Vote
Yes: 39 • No: 0 • Other: 10
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: 33 • No: 0 • Other: 16
legislature vote • 5/13/2025
Vote
Yes: 35 • No: 0 • Other: 14
legislature vote • 5/13/2025
Vote
Yes: 39 • No: 0 • Other: 10
Actions Timeline
Approved by Governor on June 4, 2025
6/6/2025legislatureDispensing of reading at large approved
5/30/2025legislaturePassed on Final Reading 47-1*-1
5/30/2025legislaturePresident/Speaker signed
5/30/2025legislaturePresented to Governor on May 30, 2025
5/30/2025legislaturePlaced on Final Reading
5/27/2025legislatureEnrollment and Review ER89 adopted
5/21/2025legislatureCavanaugh, J. AM1548 filed
5/21/2025legislatureCavanaugh, J. AM1548 not germane
5/21/2025legislatureMotion to overrule the Chair failed
5/21/2025legislatureAdvanced to Enrollment and Review for Engrossment
5/21/2025legislaturePlaced on Select File with ER89
5/19/2025legislatureEnrollment and Review ER89 filed
5/19/2025legislatureCavanaugh, M. MO86 withdrawn
5/13/2025legislatureArch AM1263 withdrawn
5/13/2025legislatureArch AM1312 adopted
5/13/2025legislatureCavanaugh, M. MO249 Bracket until June 9, 2025 filed
5/13/2025legislatureCavanaugh, M. MO249 withdrawn
5/13/2025legislatureCavanaugh, M. MO75 not considered
5/13/2025legislatureCavanaugh, M. MO68 withdrawn
5/13/2025legislatureHealth and Human Services AM411 adopted
5/13/2025legislatureAdvanced to Enrollment and Review Initial
5/13/2025legislatureArch AM1312 to AM411 filed
5/9/2025legislatureArch AM1263 to AM411 filed
5/1/2025legislatureHealth and Human Services AM411 pending
3/19/2025legislature
Bill Text
Introduced
6/6/2025
Enrolled / Slip Law
Final / Enacted