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LEGISLATURE OF NEBRASKA
ONE HUNDRED NINTH LEGISLATURE
SECOND SESSION
LEGISLATIVE BILL 929
FINAL READING
Introduced by Fredrickson, 20.
Read first time January 09, 2026
Committee: Health and Human Services
A BILL FOR AN ACT relating to the medical assistance program; to amend1
section 68-912, Revised Statutes Supplement, 2025; to allow managed2
care organizations to pay deductibles, cost sharing, or similar3
charges on behalf of medicaid enrollees; and to repeal the original4
section. 5
Be it enacted by the people of the State of Nebraska,6
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Section 1. Section 68-912, Revised Statutes Supplement, 2025, is1
amended to read: 2
68-912 (1) The department may establish (a) premiums, copayments,3
and deductibles for goods and services provided under the medical4
assistance program, (b) limits on the amount, duration, and scope of5
goods and services that recipients may receive under the medical6
assistance program subject to subsection (5) of this section, and (c)7
requirements for recipients of medical assistance as a necessary8
condition for the continued receipt of such assistance, including, but9
not limited to, active participation in care coordination and appropriate10
disease management programs and activities. 11
(2) In establishing and limiting coverage for services under the12
medical assistance program, the department shall consider (a) the effect13
of such coverage and limitations on recipients of medical assistance and14
medical assistance expenditures, (b) the public policy in section 68-905,15
(c) the experience and outcomes of other states, (d) the nature and scope16
of benchmark or benchmark-equivalent health insurance coverage as17
recognized under federal law, and (e) other relevant factors as18
determined by the department. 19
(3) Coverage for mandatory and optional services and limitations on20
covered services as established by the department prior to July 1, 2006,21
shall remain in effect until revised, amended, repealed, or nullified22
pursuant to law. Any proposed reduction or expansion of services or23
limitation of covered services by the department under this section shall24
be subject to the review requirements of section 68-909.25
(4) Except as otherwise provided in this subsection, proposed rules26
and regulations under this section relating to the establishment of27
premiums, copayments, or deductibles for eligible recipients or limits on28
the amount, duration, or scope of covered services for eligible29
recipients shall not become effective until the conclusion of the30
earliest regular session of the Legislature in which there has been a31
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reasonable opportunity for legislative consideration of such rules and1
regulations. This subsection does not apply to rules and regulations that2
are (a) required by federal or state law, (b) related to a waiver in3
which recipient participation is voluntary, or (c) proposed due to a loss4
of federal matching funds relating to a particular covered service or5
eligibility category. Legislative consideration includes, but is not6
limited to, the introduction of a legislative bill, a legislative7
resolution, or an amendment to pending legislation relating to such rules8
and regulations. 9
(5) Any limitation on the amount, duration, or scope of goods and10
services that recipients may receive under the medical assistance program11
shall give full and deliberate consideration to the role of home health12
services from private duty nurses in meeting the needs of a disabled13
family member or disabled person. 14
(6) The department shall permit a managed care organization under15
the medical assistance program to pay the deductible, cost sharing, or16
similar charges on behalf of medicaid enrollees as allowed under federal17
law. 18
Sec. 2. Original section 68-912, Revised Statutes Supplement, 2025,19
is repealed. 20
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