This bill requires Nebraska's Department of Health and Human Services to obtain legislative approval before applying for or amending a federal 1915(c) Medicaid waiver that would introduce individual cost limits, reduce total service hours, or narrow eligibility criteria. It also defines "nursing facility level of care" as a Medicaid recipient needing assistance with two or more daily activities in a community setting, provided the waiver program remains cost-neutral. These changes directly affect Medicaid recipients, providers, and the Department of Health and Human Services by regulating waiver modifications and clarifying service standards. The bill harmonizes existing definitions within Nebraska's Medical Assistance Act to ensure consistency in Medicaid program administration.
LB 1124 increases Nebraska's cigarette tax by $1.64 per pack (for ≤20 cigarettes) and redirects the majority of tax proceeds to specific state funds. It directs 97 cents per pack plus $1.25 million annually to the Nebraska Health Care Cash Fund for Medicaid programs, addressing smoking-related healthcare costs cited as exceeding $120 million yearly. The bill also allocates remaining funds to outdoor recreation, health services, building renewal, and public safety programs, while requiring the General Fund to receive the equivalent of 52.49 cents per pack. The changes take effect July 1, 2026, with Medicaid funding as the primary new focus.
This bill requires Nebraska state employers to provide paid maternity leave to employees who give birth or adopt a child. Full-time state employees would receive six weeks of paid leave, while part-time employees would receive leave proportional to their regular work schedule. The leave must be taken within six months of the child's birth or adoption, and employees must return to their original position or an equivalent role after leave. The bill also prohibits retaliation against employees who use this leave and ensures continued benefits during the leave period.
LB 463 requires Nebraska school districts to develop cardiac emergency response plans for sudden cardiac arrests during school activities. These plans must include specific elements like a response team, automated defibrillator placement, staff training (including CPR and AED use), annual drills, and coordination with emergency services, based on American Heart Association standards. The bill directs the State Department of Education to provide grants from the Medicaid Managed Care Excess Profit Fund to cover costs for these plans. It amends school safety laws to integrate cardiac response planning into existing safety reporting requirements, affecting all public school districts in Nebraska. The funding mechanism ensures grants are available without diverting other Medicaid resources.
LB 365 requires Nebraska's Medicaid program (Medical Assistance Act) to cover and reimburse for home blood pressure monitoring devices when prescribed by a healthcare provider. This directly affects Medicaid beneficiaries who need regular blood pressure monitoring for conditions like hypertension. The bill amends existing coverage rules to add these services to the list of covered medical supplies, similar to how continuous glucose monitors were recently added. It mandates the Department of Health and Human Services to provide this coverage without additional cost to eligible patients.
Nebraska bill LB 676 changes regulations for certified nurse midwives by eliminating required "practice agreements" between midwives and collaborating physicians. It updates definitions and scope of practice provisions (amending sections 38-206, 38-601, 38-603, 38-604, 38-606, 38-607, 38-608, 38-610, 38-611, and 44-2803) and makes the Nebraska Hospital-Medical Liability Act apply to midwives. The bill removes outdated sections (38-609, 38-613, and 38-614) while keeping midwives' core services - like prenatal care, childbirth support, and gynecological care - unchanged. This affects certified nurse midwives, their collaborative relationships with physicians, and their medical liability coverage under state law.
Nebraska's LB 264 moves specific state funds into the General Fund to support broader state operations. The bill requires transferring $8.25 million from the State Insurance Fund, $25.5 million from the Military Installation Fund, and over $32 million from the Water Recreation Fund, among other specified amounts, by mid-2025 or 2026. These transfers affect state financial accounts, redirecting money from specialized funds like recreation, economic development, and medical spending programs. The bill also eliminates several programs and outdated provisions, but its primary action is reallocating existing state funds.
LB 608 expands Nebraska's First Responder Recruitment and Retention Act to include correctional officers, youth detention officers, certain disabled former first responders, and their children. The bill modifies insurance protections so employers cannot cancel health coverage for line-of-duty injuries or deaths affecting these new categories, mirroring existing rules for firefighters. It also requires the state to partially reimburse public colleges for tuition waivers provided to eligible dependents of qualifying first responders. These changes apply to state and local employers covered under the act, with specific definitions added for "eligible disabled person" and "qualifying child." The law amends multiple sections of Nebraska statutes to implement these updates.
Nebraska's LB 77 adopts the Ensuring Transparency in Prior Authorization Act, requiring health insurers and Medicaid to clearly explain prior authorization decisions and post all requirements online by 2027. The law mandates that denials must be reviewed by a physician (or clinical peer) and include specific reasons citing coverage criteria, with expedited reviews for urgent care. It also requires insurers to cover biomarker testing - tests that identify specific biological markers for diagnosis - when prescribed by a doctor. This directly affects health insurers, providers, and patients by increasing transparency in coverage decisions and expanding access to certain diagnostic tests.
LB 48 establishes a five-year pilot program for Family Resource and Juvenile Assessment Centers in Nebraska's metropolitan cities. These centers will provide free, 24/7 support services - including mental health counseling, family support, educational resources, and trauma-informed care - to youth and families at risk of entering the juvenile justice system. To qualify, centers must partner with community organizations, meet quality standards through a formal designation process, and track outcomes to measure success in preventing justice system involvement. Two centers will be designated under this program, focusing on addressing root causes like family dynamics and mental health through community-driven solutions.
