# Nebraska LB376: 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 Nebraska LB376, 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, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by Health and Human Services Committee; status signed, last action 2025-06-04 (Approved by Governor on June 4, 2025); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/NE-LB376-109 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nebraska LB376 - State: Nebraska - Session: 109th Legislature 1st and 2nd Sessions - Title: 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 - Status: signed - Chamber: legislature - Introduced: 2025-01-16 - Last action: 2025-06-04, Approved by Governor on June 4, 2025 - Sponsor: Health and Human Services Committee - Cosponsors: 0 - Subjects: Health and Human Services Committee - Touches household money: yes - Roll calls: 7 (269 yes, 1 no in all) - Economic provisions PRIA read: 15 ## Summary No summary available. ## Bill overview: provisions PRIA read - Help paying for elemental formula: benefit, high. 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. - State can run premium help program: benefit, low. 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: benefit, low. 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 trea… - Hygienists can prescribe rinses, adjust dentures: benefit, low. 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: benefit, low. 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: benefit, low. 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: benefit, low. 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: cost, low. 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. - New Family Support Medicaid help for kids: mixed, high. 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. Enr… - New Medicaid cost-sharing powers, with checks: mixed, high. 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 car… - Stronger rules for Medicaid provider audits: mixed, medium. 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 clin… - More outdated state laws repealed: mixed, medium. Another set of listed state statutes is repealed. Any duties or program rules in those sections end. - Old agency and reporting laws repealed: mixed, medium. The law repeals a large set of named state statutes. The duties, authorities, or reports in those sections no longer apply. - Medicaid pays for kids’ lead tests: mixed, low. 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: mixed, low. 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 and cosponsors - Sponsor: Health and Human Services Committee ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-30 | legislature | Final Reading | pass | 47 | 1 | | | 2025-05-21 | legislature | Vote | fail | 43 | 0 | 6 | | 2025-05-13 | legislature | Vote | fail | 35 | 0 | 14 | | 2025-05-13 | legislature | Vote | fail | 33 | 0 | 16 | | 2025-05-13 | legislature | Vote | fail | 39 | 0 | 10 | | | legislature | Vote | fail | 39 | 0 | 10 | | | legislature | Vote | fail | 33 | 0 | 16 | ## Actions (42) - 2025-06-04: Approved by Governor on June 4, 2025 (legislature) - 2025-05-30: Presented to Governor on May 30, 2025 (legislature) - 2025-05-30: President/Speaker signed (legislature) - 2025-05-30: Passed on Final Reading 47-1*-1 (legislature) - 2025-05-30: Dispensing of reading at large approved (legislature) - 2025-05-27: Placed on Final Reading (legislature) - 2025-05-21: Advanced to Enrollment and Review for Engrossment (legislature) - 2025-05-21: Motion to overrule the Chair failed (legislature) - 2025-05-21: Cavanaugh, J. AM1548 not germane (legislature) - 2025-05-21: Cavanaugh, J. AM1548 filed (legislature) - 2025-05-21: Enrollment and Review ER89 adopted (legislature) - 2025-05-19: Enrollment and Review ER89 filed (legislature) - 2025-05-19: Placed on Select File with ER89 (legislature) - 2025-05-13: Advanced to Enrollment and Review Initial (legislature) - 2025-05-13: Health and Human Services AM411 adopted (legislature) - 2025-05-13: Cavanaugh, M. MO68 withdrawn (legislature) - 2025-05-13: Cavanaugh, M. MO75 not considered (legislature) - 2025-05-13: Cavanaugh, M. MO249 withdrawn (legislature) - 2025-05-13: Cavanaugh, M. MO249 Bracket until June 9, 2025 filed (legislature) - 2025-05-13: Arch AM1312 adopted (legislature) - 2025-05-13: Arch AM1263 withdrawn (legislature) - 2025-05-13: Cavanaugh, M. MO86 withdrawn (legislature) - 2025-05-09: Arch AM1312 to AM411 filed (legislature) - 2025-05-01: Arch AM1263 to AM411 filed (legislature) - 2025-03-19: Passed over (legislature) - 2025-03-19: Cavanaugh, M. MO86 pending (legislature) - 2025-03-19: Health and Human Services AM411 pending (legislature) - 2025-03-17: Cavanaugh, M. MO86 pending (legislature) - 2025-03-17: Health and Human Services AM411 pending (legislature) - 2025-03-17: Cavanaugh, M. MO86 pending (legislature) - 2025-03-17: Health and Human Services AM411 pending (legislature) - 2025-03-17: Cavanaugh, M. MO86 pending (legislature) - 2025-03-17: Cavanaugh, M. MO86 Recommit to the Health and Human Services Committee filed (legislature) - 2025-03-17: Health and Human Services AM411 pending (legislature) - 2025-03-13: Cavanaugh, M. MO75 Bracket until April 30, 2025 filed (legislature) - 2025-03-13: Cavanaugh, M. MO68 Indefinitely postpone pursuant to Rule 6, Sec. 3(f) filed (legislature) - 2025-03-05: Health and Human Services priority bill (legislature) - 2025-02-28: Health and Human Services AM411 filed (legislature) - 2025-02-28: Placed on General File with AM411 (legislature) - 2025-02-05: Notice of hearing for February 19, 2025 (legislature) - 2025-01-21: Referred to Health and Human Services Committee (legislature) - 2025-01-16: Date of introduction (legislature) ## Bill text - Introduced, 2025-01-16: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB376.pdf) - Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB376.pdf) - Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB376.pdf) ## Related bills - LB468: Change provisions relating to inheritance taxes, change certain fee and tax provisions, and eliminate a sales tax exemption relating to data centers (failed) - LB13: Require the Department of Health and Human Services to file a state plan amendment relating to child care (failed) - LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide for regulation of medical cannabis (failed) - LB170: Eliminate the sales tax exemptions for candy and soft drinks (failed) - LB646: Provide an exemption from brand inspections and change fees under the Livestock Brand Act (failed) - LB714: Change provisions relating to motor vehicle taxes and fees (failed) ## Sources - [Introduced (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB376.pdf) - [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB376.pdf) - [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB376.pdf) ## Related - [LB468: Change provisions relating to inheritance taxes, change certain fee and tax pro…](https://policyrisk.com/state-bill/NE-LB468-109) - [LB13: Require the Department of Health and Human Services to file a state plan amendm…](https://policyrisk.com/state-bill/NE-LB13-109) - [LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide f…](https://policyrisk.com/state-bill/NE-LB677-109) - [LB170: Eliminate the sales tax exemptions for candy and soft drinks](https://policyrisk.com/state-bill/NE-LB170-109) - [LB646: Provide an exemption from brand inspections and change fees under the Livestock…](https://policyrisk.com/state-bill/NE-LB646-109) - [LB714: Change provisions relating to motor vehicle taxes and fees](https://policyrisk.com/state-bill/NE-LB714-109) - [Nebraska bills](https://policyrisk.com/states/nebraska/bills) - [Nebraska state hub](https://policyrisk.com/states/nebraska) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NE-LB376-109 (as of 2026-10-17).