LB 929

LB929  LB929
2026  2026
              ENGROSSED LEGISLATIVE BILL 929
Introduced by Fredrickson, 20.
A BILL FOR AN ACT relating to the medical assistance program; to amend section
    68-912,        Revised  Statutes      Supplement,        2025;     to     allow     managed      care
    organizations to pay deductibles, cost sharing, or similar charges on
    behalf of medicaid enrollees; and to repeal the original section.
Be it enacted by the people of the State of Nebraska,
    Section 1. Section 68-912, Revised Statutes Supplement, 2025, is amended
to read:
    68-912 (1) The department may establish (a) premiums, copayments, and
deductibles      for       goods   and    services      provided      under    the     medical       assistance
program, (b) limits on the amount, duration, and scope of goods and services
that recipients may receive under the medical assistance program subject to
subsection (5) of this section, and (c) requirements for recipients of medical
assistance    as       a    necessary      condition      for      the    continued        receipt    of    such
assistance,      including,  but    not   limited      to,    active        participation       in   care
coordination and appropriate disease management programs and activities.
    (2) In establishing and limiting coverage for services under the medical
assistance    program,        the    department      shall      consider      (a)    the     effect    of   such
coverage   and     limitations        on    recipients        of    medical    assistance       and    medical
assistance expenditures, (b) the public policy in section 68-905, (c) the
experience and outcomes of other states, (d) the nature and scope of benchmark
or benchmark-equivalent health insurance coverage as recognized under federal
law, and (e) other relevant factors as determined by the department.
    (3)    Coverage  for    mandatory      and   optional  services     and    limitations      on
covered services as established by the department prior to July 1, 2006, shall
remain in effect until revised, amended, repealed, or nullified pursuant to
law. Any proposed reduction or expansion of services or limitation of covered
services by the department under this section shall be subject to the review
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LB929  LB929
2026  2026
requirements of section 68-909.
    (4) Except as otherwise provided in this subsection, proposed rules and
regulations      under    this      section   relating    to    the     establishment   of     premiums,
copayments, or deductibles for eligible recipients or limits on the amount,
duration, or scope of covered services for eligible recipients shall not become
effective     until      the    conclusion     of   the     earliest      regular    session    of    the
Legislature in which there has been a reasonable opportunity for legislative
consideration of such rules and regulations. This subsection does not apply to
rules and regulations that are (a) required by federal or state law, (b)
related to a waiver in which recipient participation is voluntary, or (c)
proposed due to a loss of federal matching funds relating to a particular
covered service or eligibility category. Legislative consideration includes,
but is not limited to, the introduction of a legislative bill, a legislative
resolution, or an amendment to pending legislation relating to such rules and
regulations.
    (5) Any limitation on the amount, duration, or scope of goods and services
that recipients may receive under the medical assistance program shall give
full and deliberate consideration to the role of home health services from
private   duty    nurses       in   meeting   the   needs      of   a   disabled    family   member    or
disabled person.
    (6) The department shall permit a managed care organization under the
medical assistance program to pay the deductible, cost sharing, or similar
charges on behalf of medicaid enrollees as allowed under federal law.
    Sec. 2.        Original section 68-912, Revised Statutes Supplement, 2025, is
repealed.
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                                                                                         PRESIDENT OF THE LEGISLATURE
            THIS IS TO CERTIFY that the within LB 929 was passed by the One Hundred Ninth
Legislature of Nebraska at its Second Session on the ........................................................ day
of ................................................................... 20.............
                                                                                          CLERK OF THE LEGISLATURE
                                                                     Approved:
          .......................................................................... 20.........., ................. o'clock ...............M.
                                                                                                      GOVERNOR