All Roll Calls
Yes: 391 • No: 33
NebraskaLB958109th Legislature 1st and 2nd SessionslegislatureWALLET
Provide for implementation of a home and community-based services waiver, retroactive coverage of certain benefits, and reimbursement of doula services and change reporting requirements under the Medical Assistance Act, change provisions relating to the Nebraska Prenatal Plus Program, and provide limits for crisis assistance payments under the low-income home energy assistance program
Sponsored By: Machaela Cavanaugh
Signed by Governor
Health and Human Services Committee
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 5 benefits, 0 costs, 1 mixed.
Stronger in-home care and fair Medicaid assessments
The law requires Medicaid home and community-based services to match each person’s medical and safety needs. Services must be enough in amount, duration, and scope to avoid unnecessary hospital or nursing home care. Staff who use assessment tools must get training in clinical interviewing and clear communication. You receive clear notices that explain your tier, hours, assessment results, and how to appeal. Any cut to your tier or hours gets a supervisor review before it takes effect. For the developmental disability waiver, DHHS must report on assessment methods and results by August 1, 2026, and August 1, 2027.
Maximum retroactive Medicaid coverage now available
DHHS provides the maximum retroactive Medicaid coverage allowed under federal law in effect on January 1, 2026. This can pay for past medical bills if you were eligible. The covered retroactive period depends on that federal rule.
Medicaid covers doula support by 2029
Medicaid will pay for doula services no later than January 1, 2029. DHHS must set rates and provider rules in a plan due January 1, 2027. A stakeholder group, including doulas and affected communities, helps write the plan. The state share of payments is intended to come from the Vital Statistics Subfund. Doulas give non-medical support and do not perform clinical tasks.
Prenatal Plus continues with added supports
The Prenatal Plus Program no longer ends on June 30, 2028; it continues. The program covers at least two breastfeeding support sessions, plus nutrition, counseling, education, and case management. DHHS must file an annual report each December 15 from 2024 through 2034 on services and birth outcomes.
More energy help with $800 crisis cap
LIHEAP now uses 150% of the federal poverty level to decide who qualifies. Crisis payments are normally capped at $800 per program year. DHHS can approve more than $800 for extenuating circumstances.
More Medicaid program transparency and data
Each year by December 1, DHHS issues a fuller Medicaid report. It explains community engagement plans and denials, vendor checks for concurrent enrollment, and re-enrollment data. It also lists premiums, copays, deductibles, and who pays them.
Sponsors & Cosponsors
Sponsor
Machaela Cavanaugh
Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/10/2026
Final Reading
Yes: 48 • No: 1
legislature vote • 4/8/2026
Vote
Yes: 42 • No: 0 • Other: 7
legislature vote • 4/8/2026
Vote
Yes: 32 • No: 5 • Other: 12
legislature vote • 4/8/2026
Vote
Yes: 32 • No: 11 • Other: 6
legislature vote • 3/31/2026
Vote
Yes: 43 • No: 0 • Other: 6
legislature vote • 3/31/2026
Vote
Yes: 45 • No: 0 • Other: 4
legislature vote • Unknown
Vote
Yes: 43 • No: 0 • Other: 6
legislature vote • Unknown
Vote
Yes: 42 • No: 0 • Other: 7
legislature vote • Unknown
Vote
Yes: 32 • No: 11 • Other: 6
legislature vote • Unknown
Vote
Yes: 32 • No: 5 • Other: 12
Actions Timeline
Provisions/portions of LB1033 amended into LB958 by AM3119
4/17/2026legislatureProvisions/portions of LB777 amended into LB958 by AM2766
4/17/2026legislatureProvisions/portions of LB773 amended into LB958 by AM2977
4/17/2026legislatureProvisions/portions of LB701 amended into LB958 by AM3128
4/17/2026legislaturePresented to Governor on April 10, 2026
4/17/2026legislatureApproved by Governor on April 16, 2026
4/16/2026legislaturePresident/Speaker signed
4/10/2026legislaturePassed on Final Reading with Emergency Clause 48-1-0
4/10/2026legislatureDispensing of reading at large approved
4/10/2026legislatureEnrollment and Review ST96 recorded
4/8/2026legislatureEnrollment and Review ST96 filed
4/8/2026legislaturePlaced on Final Reading with ST96
4/8/2026legislatureAdvanced to Enrollment and Review for Engrossment
4/8/2026legislatureSpivey AM3128 adopted
4/8/2026legislatureSpivey AM3119 adopted
4/8/2026legislatureDungan AM2977 adopted
4/8/2026legislatureCavanaugh, M. AM3018 withdrawn
4/8/2026legislatureKauth FA614 withdrawn
4/8/2026legislatureEnrollment and Review ER181 adopted
4/8/2026legislatureSpivey AM3128 filed
4/7/2026legislatureSpivey AM3119 filed
4/7/2026legislatureDungan AM2977 filed
4/7/2026legislatureEnrollment and Review ER181 filed
4/7/2026legislaturePlaced on Select File with ER181
4/7/2026legislatureCavanaugh, M. AM3018 filed
4/1/2026legislature
Bill Text
Introduced
1/12/2026
Enrolled / Slip Law
Final / Enacted
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