LB 912, the Community Health Worker Training Endorsement Act, establishes a state system to recognize community health worker (CHW) training programs that meet minimum quality standards. It directly affects CHW training programs and the workers they prepare, enabling these programs to qualify for reimbursement by Medicaid and private insurers. The bill requires the Department of Health and Human Services to develop rules by December 2026 defining core competencies, application processes, fees, and oversight for program endorsement. Crucially, it clarifies that this endorsement does not create licensure or certification for CHWs, nor does it expand the scope of practice for licensed health professionals. The key change is creating a standardized pathway for CHW services to be covered by insurance, improving access to community-based health support.
Nebraska Legislative Bill LB 722 amends the Behavioral Health Services Fund to explicitly include services for individuals with substance use disorder. The bill clarifies that funds can now be used for behavioral health services specifically for people with substance use disorder, aligning with existing provisions for serious mental illness. This change, which references the definition in Section 71-430, ensures the fund’s resources directly support treatment and housing-related assistance for this population without creating new funding. The bill affects Nebraskans seeking behavioral health services, particularly those with substance use disorder who qualify under the fund’s existing eligibility criteria.
LB 1235 updates Nebraska's medical cannabis laws by amending the Nebraska Medical Cannabis Patient Protection Act and Nebraska Medical Cannabis Regulation Act. It establishes a patient and caregiver registry, creates a directory of healthcare practitioners who can recommend cannabis, and sets licensing requirements for practitioners and cannabis businesses. The bill introduces sales tax on medical cannabis (separate from marijuana taxes), outlines commission powers for regulation and enforcement, and defines key terms like "qualified patient" and "allowable amount." These changes directly affect medical cannabis patients, their caregivers, healthcare providers, and the Nebraska Medical Cannabis Commission.
LB 1212 creates two new license types for internationally trained physicians in Nebraska who completed medical education outside the U.S. It allows a "limited license" (valid up to 6 years total) requiring supervision by a participating health care entity (like a hospital or health center) and completion of a state-approved assessment program. A "restricted license" would permit independent practice in designated health profession shortage areas after meeting the same requirements. The bill requires physicians to hold ECFMG certification, pass USMLE steps 1 and 2, maintain valid U.S. work authorization, and be employed by a participating entity during the limited license period. This directly affects internationally trained physicians seeking to practice medicine in Nebraska, particularly in underserved rural or urban areas.
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.
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.
LB 322 increases penalties for assaulting specific professionals while they are working. It makes assault on pharmacists, healthcare workers (including hospital/clinic staff), and emergency responders a higher felony classification when committed during their duties at pharmacies, hospitals, or clinics. The bill defines "pharmacist" as a state-licensed pharmacy practitioner and "health care professional" to include all employees at healthcare facilities. This amendment enhances existing assault penalties for these targeted groups without creating new prohibitions. The bill is currently postponed indefinitely in Nebraska's legislative process.
Nebraska's legislature passed Legislative Resolution 296 urging the U.S. President and Congress to permanently extend higher meal reimbursements for childcare centers under the federal Child and Adult Care Food Program. Specifically, it requests making permanent the 2022 Keep Kids Fed Act provisions that provide family day care homes with Tier I reimbursement rates (instead of lower Tier II) and an additional 10 cents per meal. This would directly support Nebraska's 1,283 participating childcare programs serving 23,695 low-income children, ensuring continued access to nutritious meals after current federal funding expired in 2023. The resolution has no binding effect but formally requests federal action.
LB 110 requires health care providers to obtain written consent before performing a pelvic exam on a patient who is unconscious or under anesthesia in a hospital or clinic, unless it's an emergency, authorized by a decision-maker, or court-ordered. It directly affects patients unable to consent and health care providers who must follow these rules. The bill mandates written notification to patients before discharge if such an exam was performed, and violations could lead to disciplinary action under Nebraska's credentialing laws. This legislation aims to protect patient autonomy during medical procedures requiring unconsciousness.
