Read the full stored bill text
ONE HUNDRED NINTH LEGISLATURE
SECOND SESSION
LEGISLATIVE RESOLUTION 435
Introduced by Spivey, 13; Dorn, 30.
PURPOSE: The purpose of this resolution is to propose an interim study to
examine appropriations relating to Nebraska's program of all-inclusive care for
elderly (PACE) under 42 U.S.C. 1396u-4, including program eligibility
standards, funding structures, reimbursement mechanisms, and the fiscal effects
of aligning eligibility thresholds with medicare eligibility standards used in
neighboring states. The objective of the study is to develop findings and
recommendations that may inform future legislation related to the PACE program
and its role in long-term care policy in Nebraska. The study shall include, but
need not be limited to:
(1) Reviewing the current appropriations and budget allocations supporting
Nebraska's PACE program, including return on investment and possible savings to
state medicaid expenditures when using PACE services as an alternative, other
state medicaid expenditures, federal medicare participation, and other public
funding streams administered by the Department of Health and Human Services;
(2) Evaluating current eligibility standards for participation in
Nebraska's PACE program, including geographic service area, medicare
eligibility requirements, medicaid eligibility interaction, and the calculation
of the amount that would have otherwise been paid;
(3) Analyzing the fiscal implications of modifying eligibility thresholds
in order to align Nebraska's PACE program more closely with medicare
eligibility standards and with policies used in neighboring states;
(4) Examining the reimbursement structures used to finance PACE program
services, including payment methodologies, cost-sharing between medicare and
medicaid, and whether current funding structures adequately support program
expansion;
LR435
2026
LR435
2026
-1-
(5) Determining the availability, geographic distribution, and capacity of
PACE providers in Nebraska, including barriers to expanding services into rural
communities;
(6) Reviewing federal and state funding streams supporting PACE program
services and identifying opportunities to maximize federal reimbursement while
improving continuity of care and long-term care outcomes for eligible
populations; and
(7) Identifying best practices from other states that have expanded PACE
access, aligned eligibility with medicare standards, or otherwise improved
long-term care outcomes through integrated care models.
NOW, THEREFORE, BE IT RESOLVED BY THE MEMBERS OF THE ONE HUNDRED NINTH
LEGISLATURE OF NEBRASKA, SECOND SESSION:
1. That the Appropriations Committee of the Legislature shall be
designated to conduct an interim study to carry out the purposes of this
resolution.
2. That the committee shall upon the conclusion of its study make a report
of its findings, together with its recommendations, to the Legislative Council
or Legislature.
LR435
2026
LR435
2026
-2-