LB 454 amends Nebraska law to update rules for regional behavioral health authorities and establish the Behavioral Health Services Fund. It requires these authorities to adopt uniform fee policies based on consumer income (not exceeding service costs), mandate competitive bidding for services unless specific exemptions apply, and maintain separate budgets for behavioral health funding. The new Behavioral Health Services Fund will provide grants, loans, and reimbursements to support community-based behavioral health services statewide, including housing assistance for very low-income adults with serious mental illness. These changes directly affect regional behavioral health authorities, behavioral health providers, and consumers receiving public behavioral health services.
Nebraska's LB 77 adopts the Ensuring Transparency in Prior Authorization Act, requiring health insurers and Medicaid to clearly explain prior authorization decisions and post all requirements online by 2027. The law mandates that denials must be reviewed by a physician (or clinical peer) and include specific reasons citing coverage criteria, with expedited reviews for urgent care. It also requires insurers to cover biomarker testing - tests that identify specific biological markers for diagnosis - when prescribed by a doctor. This directly affects health insurers, providers, and patients by increasing transparency in coverage decisions and expanding access to certain diagnostic tests.
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.
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 adds nurse anesthetists and dietitian nutritionists to Nebraska's Rural Health Systems and Professional Incentive Act. It expands eligibility for student loans and loan repayment programs to include these professions, allowing them to qualify for financial assistance if they practice in designated health shortage areas. Specifically, nurse anesthetists and dietitian nutritionists become eligible for up to $15,000 annually in loan repayment (capped at $45,000 total) under the same terms as other qualifying healthcare providers like nurse practitioners and physical therapists. The bill amends existing statutes to formally include these professions in program eligibility and shortage area designations.
LB 382 redirects $2 million annually from Nebraska's Medicaid Managed Care Excess Profit Fund to reimburse the state's eight Area Agencies on Aging (AAAs) for eligible activities and services defined under existing law. The bill specifically appropriates these funds for fiscal years 2025-26 and 2026-27, with an equal share distributed to each AAA. This ensures AAAs receive reimbursement for costs related to services supporting older Nebraskans, such as transportation, meals, and home care, as outlined in section 81-2222. The bill amends existing funding mechanisms to prioritize these reimbursements while maintaining current eligibility criteria.
LB 382A appropriates $2 million from the Medicaid Managed Care Excess Profit Fund for each of the 2025-26 and 2026-27 fiscal years to the Department of Health and Human Services. The funds are designated for Program 571 to support the implementation of Legislative Bill 382. The bill specifies that the money must be used solely for state aid and cannot cover salaries or per diems for state employees.
Nebraska's LB 641 amends Medicaid estate recovery rules to protect certain family members' homes from being seized to repay medical assistance costs after a recipient's death. The bill specifically exempts homes from recovery if a sibling lived there continuously for one year before the recipient's institutionalization or if an adult child provided care while living in the home for two years prior to institutionalization. To qualify for these exemptions, a physician's written attestation must verify the care provided that delayed institutionalization. The changes clarify which family members retain home ownership protections and require specific documentation to avoid estate recovery claims.
LB 319 adjusts Nebraska's eligibility rules for the Supplemental Nutrition Assistance Program (SNAP) by temporarily increasing the gross income threshold to 165% of the federal poverty guidelines (from the prior level) for qualifying residents. This change, effective until October 1, 2025, aims to expand access to SNAP benefits while maintaining work incentives - ensuring participants can keep benefits while seeking higher-paying jobs. The bill also requires the Department of Health and Human Services to develop a state outreach plan (partnering with nonprofits if needed), submit annual reports to the Legislature on program effectiveness, and evaluate administrative costs. It directly affects Nebraska residents seeking SNAP benefits, particularly those with incomes just above the previous threshold.
