This bill appropriates state funds to support the implementation of Legislative Bill 1237, which is a separate piece of legislation. It allocates $871,419 to the Nebraska State Patrol for fiscal year 2026-27 and $50,000 to the Department of Administrative Services for the same period, with specific limits on how those funds can be spent on salaries and per diems. The bill also updates budget figures for the Legislative Council's services and includes $75,000 from the Nebraska Health Care Cash Fund to support ongoing health-related research and policy development by the Health and Human Services Committee. Finally, it reappropriates any unspent money from previous budgets and repeals the original section that established these funding levels.
This bill (LB 929) amends Nebraska's Medicaid rules to restrict cost-sharing requirements for enrollees. It prohibits the Department of Health and Human Services from imposing deductibles, copayments, or similar charges unless federal law mandates them (Section 68-912(6)). If federal requirements apply, the state must implement them no earlier than October 1, 2028, at the lowest amount permitted by federal law (Section 68-912(7)), allow managed care organizations to pay these costs on behalf of enrollees, and prevent providers from denying care due to unpaid charges. The bill directly affects Nebraska Medicaid enrollees by protecting them from unexpected out-of-pocket costs and ensuring access to care.
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.
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 669 would revise Nebraska's abortion laws by changing consent requirements for patients seeking abortions and modifying civil action rules for abortion-related claims. The bill redefines key terms like "dismemberment abortion" (specifying procedures involving dismembering a living fetus) and "complications associated with abortion" (requiring peer-reviewed statistical evidence). It mandates providers to obtain voluntary, informed consent based on updated standards and allows civil lawsuits against non-physicians performing illegal abortions or encouraging self-abortions. The bill directly affects abortion providers, patients, and healthcare facilities by altering pre-abortion screening protocols and legal accountability. (Note: This is a proposed bill; it has not been enacted as of its 2025 introduction date.)
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.
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.
This bill appropriates $1 million from the Medicaid Managed Care Excess Profit Fund for each of fiscal years 2025-26 and 2026-27 to the Nebraska Department of Health and Human Services. The funds are specifically designated for Program 33 to support the implementation of Legislative Bill 48 (which establishes Medicaid managed care reforms). The appropriation includes a $60,000 annual cap on salary and per diem expenses for the program. The bill becomes effective September 1, 2025, and directly affects Medicaid program administration.
