LB 380 Legislature · 109th Legislature (2025-2026)

Change provisions regarding program integrity, ground emergency medical transport, and mental health and substance use disorder services under the Medical Assistance Act and provide duties for the Division of Medicaid and Long-Term Care

LB 380 updates Nebraska's Medicaid program integrity rules to improve fairness and transparency in audits. It requires program integrity contractors to provide clear written justification for audits, limit records requests to relevant documents, and send determination letters within 180 days. The bill also mandates that auditors use licensed healthcare professionals familiar with clinical standards and prohibits audits of capitated managed care claims or claims already under review. These changes directly affect Medicaid providers and contractors by standardizing audit procedures and protecting providers from improper overpayment claims.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

Mar 2025

Legislature Passage

May 2025

Legislature Passage

Apr 2025

Signed into Law

Jun 2025

Introduced Jan 16, 2025 Signed Jun 2, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Introduced → Enrollment and Review ER39 · 4 edits

MODERATE

The bill was amended during the Enrollment and Review process to change which statutes it amends, shifting focus from sections 68-995 and 68-996 to a broader set of health-related statutes including program integrity, emergency medical transport, and mental health services. The original text establishing specific administrative spending caps, profit limits, and fund usage requirements was removed and replaced with new language that broadens the bill's scope to include additional health service provisions.

Scope change

The bill's scope was expanded from focusing solely on medical assistance contract provisions to include program integrity, ground emergency medical transport, and mental health and substance use disorder services across multiple statutes.

SCOPE

The bill now references additional statutes (68-982, 68-985, 68-986, 68-987, 68-988, 68-974) beyond the original 68-995 and 68-996, expanding its legislative reach to cover program integrity, emergency transport, and mental health services.

REQUIREMENT

Specific requirements for administrative spending caps (12%), profit limits (3%), and detailed fund usage provisions were removed from the bill text.

New language was added to address program integrity, ground emergency medical transport, and mental health and substance use disorder services across multiple statutes.

TECHNICAL

The bill's introductory language was changed to reflect the new scope, with the original committee assignment and introduction details replaced by Enrollment and Review Committee information.

Floor votes · Legislature Apr 2, 2025

How they voted

32–0

Passed · 17 other

Total votes 49

Apr 2, 2025

N Nonpartisan49

32 Yea 17

65% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 6, 2025

Introduced

Provisions/portions of LB610 amended into LB380 by AM814

legislature

Jun 6, 2025

Introduced

Provisions/portions of LB381 amended into LB380 by AM728

legislature

Jun 2, 2025

Signed into law

Approved by Governor on May 30, 2025

executive

May 28, 2025

Legislature · Passed

President/Speaker signed

legislature

May 28, 2025

Legislature · Passed

Passed on Final Reading 48-1*-0

legislature

Apr 30, 2025

Legislature · Passed

Enrollment and Review ER39 adopted

legislature

Apr 2, 2025

Legislature · Passed

Health and Human Services AM728 adopted

legislature

Apr 2, 2025

Legislature · Passed

Bostar AM814 adopted

legislature

Mar 26, 2025

Legislature · Passed

Placed on General File with AM728

legislature

Jan 21, 2025

Committee

Referred to Health and Human Services Committee

legislature

Jan 16, 2025

Introduced

Date of introduction

legislature

1 primary · 0 co-sponsors