Change provisions relating to the use of the Hospital Quality Assurance and Access Assessment Fund

This bill amends Nebraska's Hospital Quality Assurance and Access Assessment Fund rules to clarify how its funds can be used. It prohibits using the fund to replace existing state hospital payments and specifies exact allocations: up to $15 million annually for administrative costs, $2.5 million for nursing training expansion, and $17.5 million for non-hospital Medicaid providers. The bill also prevents Medicaid managed care organizations and hospitals from adjusting rates based on these directed payments or passing assessment costs to patients. These changes directly affect hospitals, Medicaid managed care organizations, and state agencies managing the fund.