# Nebraska LB380: Change provisions regarding program integrity, ground emergency medical transport, and mental health and substance use disorder services under the Medical Assistance Act and provide duties for the Division of Medicaid and Long-Term Care Nebraska LB380, Change provisions regarding program integrity, ground emergency medical transport, and mental health and substance use disorder services under the Medical Assistance Act and provide duties for the Division of Medicaid and Long-Term Care, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by John Fredrickson; status signed, last action 2025-06-06 (Provisions/portions of LB610 amended into LB380 by AM814) (as of 2026-10-19). - Canonical: https://policyrisk.com/state-bill/NE-LB380-109 - As of: 2026-10-19 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nebraska LB380 - State: Nebraska - Session: 109th Legislature 1st and 2nd Sessions - Title: Change provisions regarding program integrity, ground emergency medical transport, and mental health and substance use disorder services under the Medical Assistance Act and provide duties for the Division of Medicaid and Long-Term Care - Status: signed - Chamber: legislature - Introduced: 2025-01-16 - Last action: 2025-06-06, Provisions/portions of LB610 amended into LB380 by AM814 - Sponsor: John Fredrickson - Cosponsors: 0 - Subjects: Health and Human Services Committee - Touches household money: no - Roll calls: 6 (182 yes, 1 no in all) - Economic provisions PRIA read: 3 ## Summary No summary available. ## Bill overview: provisions PRIA read - Stronger mental health care in Medicaid: benefit, high. The law strengthens mental health and substance use care in Medicaid. Plans cannot put stricter limits or higher costs on these services than on medical care. Plans must keep enough providers and use review rules that match accepted standards. They must post their review policies and usually cannot… - Tighter profit caps for Medicaid plans: benefit, high. The law caps Medicaid plan overhead and profit to push more dollars to care. Administrative spending is capped at 12%, profit at 3% a year, and the medical loss ratio must be at least 85%. Plan incentives are limited to 2%, and excess or unearned funds must go to the Medicaid Managed Care Excess Pr… - New rules for ambulance Medicaid payments: mixed, medium. The law sets new rules for Medicaid payments to ground ambulance providers. Total Medicaid payments cannot be more than 100% of actual allowable costs, and supplemental payments cannot exceed the federal share. Government ambulance sponsors must certify under 42 C.F.R. 433.51 (as of January 1, 2025… ## Sponsors and cosponsors - Sponsor: John Fredrickson, Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-28 | legislature | Final Reading | pass | 48 | 1 | | | 2025-04-02 | legislature | Vote | fail | 26 | 0 | 23 | | 2025-04-02 | legislature | Vote | fail | 32 | 0 | 17 | | 2025-04-02 | legislature | Vote | fail | 25 | 0 | 24 | | | legislature | Vote | fail | 25 | 0 | 24 | | | legislature | Vote | fail | 26 | 0 | 23 | ## Actions (26) - 2025-06-06: Provisions/portions of LB610 amended into LB380 by AM814 (legislature) - 2025-06-06: Provisions/portions of LB381 amended into LB380 by AM728 (legislature) - 2025-05-30: Approved by Governor on May 30, 2025 (legislature) - 2025-05-28: Presented to Governor on May 28, 2025 (legislature) - 2025-05-28: President/Speaker signed (legislature) - 2025-05-28: Passed on Final Reading 48-1*-0 (legislature) - 2025-05-28: Dispensing of reading at large approved (legislature) - 2025-05-06: Placed on Final Reading (legislature) - 2025-04-30: Advanced to Enrollment and Review for Engrossment (legislature) - 2025-04-30: Fredrickson AM1034 withdrawn (legislature) - 2025-04-30: Enrollment and Review ER39 adopted (legislature) - 2025-04-14: Fredrickson AM1034 filed (legislature) - 2025-04-08: Enrollment and Review ER39 filed (legislature) - 2025-04-08: Placed on Select File with ER39 (legislature) - 2025-04-02: Advanced to Enrollment and Review Initial (legislature) - 2025-04-02: Fredrickson FA79 withdrawn (legislature) - 2025-04-02: Fredrickson FA79 filed (legislature) - 2025-04-02: Health and Human Services AM728 adopted (legislature) - 2025-04-02: Bostar AM814 adopted (legislature) - 2025-03-28: Bostar AM814 to AM728 filed (legislature) - 2025-03-26: Health and Human Services AM728 filed (legislature) - 2025-03-26: Placed on General File with AM728 (legislature) - 2025-03-14: Fredrickson priority bill (legislature) - 2025-02-07: Notice of hearing for February 26, 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/LB380.pdf) - Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB380.pdf) - Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB380.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) - LB646: Provide an exemption from brand inspections and change fees under the Livestock Brand Act (failed) - LB170: Eliminate the sales tax exemptions for candy and soft drinks (failed) - LB714: Change provisions relating to motor vehicle taxes and fees (failed) ## Sources - [Introduced (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB380.pdf) - [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB380.pdf) - [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB380.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) - [LB646: Provide an exemption from brand inspections and change fees under the Livestock…](https://policyrisk.com/state-bill/NE-LB646-109) - [LB170: Eliminate the sales tax exemptions for candy and soft drinks](https://policyrisk.com/state-bill/NE-LB170-109) - [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-LB380-109 (as of 2026-10-19).