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 762 requires most health insurance policies in Nebraska to cover treatment for two specific pediatric conditions: pediatric autoimmune neuropsychiatric disorder associated with streptococcal infection (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). It mandates coverage for recommended treatments like antibiotics, medication, behavioral therapy, plasma exchange, and immunoglobulin, directly affecting families of children diagnosed with these conditions and insurers offering health coverage in the state. Insurers must report coverage denials for these treatments annually to the Department of Insurance, which will publish a public report starting in 2028. The bill aims to ensure access to medically necessary care for affected children without insurer denials.
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 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 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.
This bill eliminates numerous state advisory groups, boards, and commissions - including the Climate Assessment Response Committee, Women's Health Initiative Advisory Council, and Palliative Care Act - and removes their funding. It also modifies department responsibilities, such as adjusting the Board of Mental Health Practice and the Department of Health and Human Services. The bill specifically terminates the Whiteclay Public Health Emergency Task Force and streamlines overlapping government structures by repealing obsolete provisions. These changes aim to simplify state agency operations by removing redundant entities and consolidating functions.
