Provide for managed care organizations to pay the deductible, cost sharing, or similar charges on behalf of medicaid enrollees

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.