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LB867: Healthcare Programs, Medicaid, Child Care, and Social Services Amendments

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Summary

Nebraska Governor signed LB867 on April 10, 2026, enacting comprehensive amendments to healthcare and social services programs. The bill establishes a money follows the person program for Medicaid benefits, modifies youth afterschool eligibility for child care employment, redirects wholesale drug distributor license fees to the prescription drug monitoring program, and requires certain schools to maintain epinephrine. The bill also renames multiple mental health and developmental disability advisory bodies and eliminates obsolete provisions from the Department of Health and Human Services.

What changed

LB867 enacts comprehensive amendments to Nebraska healthcare and social services programs, including establishment of a money follows the person program for Medicaid benefits, modifications to youth afterschool eligibility letters for child care employment, redirection of wholesale drug distributor license fees to support the prescription drug monitoring program, and requirements for certain schools to maintain epinephrine. The bill renames the Alzheimer's Disease and Other Dementia Support Act, the Alzheimer's Disease and Other Dementia Advisory Council, the State Advisory Committee on Mental Health, and the Division of Developmental Disabilities of the Department of Health and Human Services.\n\nAffected parties including healthcare providers, insurers, schools, and state agencies should review updated program requirements and compliance procedures. The bill's emergency clause indicates immediate effectiveness upon signing, requiring prompt implementation of new obligations across multiple healthcare and social services programs.

What to do next

  1. Healthcare providers and insurers should review updated Medicaid and medical assistance program requirements
  2. Schools should prepare to comply with epinephrine maintenance requirements
  3. State agencies should update compliance procedures for renamed divisions and advisory councils

Archived snapshot

Apr 13, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

ChangeBridge / Nebraska / LB867 Signed by Governor LB867 LB Signed by Governor 2026-04-10

Change provisions relating to special needs trusts, fingerprints under the Uniform Credentialing Act, child care grants, the Title IV-D Division Customer Service Unit, eligibility for young adults in the bridge to independence program, licensed and self-funded insurers under the Medical Assistance Act, medicaid nursing facility rates, assistance to aged, blind, or disabled persons, and the state Commodity Supplemental Food program; provide for a money follows the person program for medicaid benefits, a youth afterschool eligibility letter for child care employment, use of wholesale drug distributor license fees for the prescription drug monitoring program, and maintenance of epinephrine by certain schools; change provisions of and rename the Alzheimer's Disease and Other Dementia Support Act , the Alzheimer's Disease and Other Dementia Advisory Council, the State Advisory Committee on Mental Health, the Division of Developmental Disabilities of the Department of Health and Human Services, and the Director of Developmental Disabilities; and eliminate provisions relating to divisions of the Department of Health and Human Services, the Division of Medicaid and Long-Term Care Advisory Committee on Aging, the Maternal and Child Health and Public Health Work Fund, and an obsolete Nurse Licensure Compact

Bill Details

State Nebraska

Session 109th Legislature

Chamber House

Official Source nebraskalegislature.gov/bills/view_bill.ph...

LegiScan View on LegiScan

Sponsors

Health and Human Services Committee

Action History

2026-04-10 L President/Speaker signed 2026-04-10 L Passed on Final Reading with Emergency Clause 49-0-0 2026-04-10 L Dispensing of reading at large approved 2026-04-07 L Enrollment and Review ST83 recorded 2026-04-07 L Enrollment and Review ST83 filed 2026-04-07 L Placed on Final Reading with ST83 2026-04-01 L Advanced to Enrollment and Review for Engrossment 2026-04-01 L DeBoer AM3044 adopted 2026-04-01 L DeBoer FA1140 adopted 2026-04-01 L DeBoer FA1140 to AM3044 filed 2026-04-01 L Ballard AM3023 withdrawn 2026-04-01 L Ballard AM2970 adopted 2026-04-01 L Hardin AM2972 adopted 2026-04-01 L Kauth FA507 withdrawn 2026-04-01 L Enrollment and Review ER165 adopted 2026-04-01 L DeBoer AM3044 filed 2026-03-31 L Ballard AM3023 filed 2026-03-31 L Ballard AM2970 filed 2026-03-30 L Hardin AM2972 filed 2026-03-30 L Enrollment and Review ER165 filed 2026-03-30 L Placed on Select File with ER165 2026-03-23 L Advanced to Enrollment and Review Initial 2026-03-23 L Health and Human Services AM2270 adopted 2026-03-23 L Riepe AM2856 adopted 2026-03-23 L Riepe AM2856 to AM2270 filed 2026-03-23 L Hardin AM2829 adopted 2026-03-23 L Hardin AM2829 to AM2270 filed 2026-03-23 L Hardin AM2830 adopted 2026-03-23 L Hardin AM2830 to AM2270 filed 2026-03-23 L Hardin AM2555 adopted 2026-03-23 L Hardin AM2555 to AM2270 filed 2026-03-23 L Hardin AM2859 adopted 2026-03-23 L Hardin AM2859 to AM2270 filed 2026-03-23 L Clouse AM2685 withdrawn 2026-03-23 L McKinney FA1021 withdrawn 2026-03-23 L McKinney MO492 withdrawn 2026-03-23 L McKinney MO491 withdrawn 2026-03-23 L McKinney MO490 withdrawn 2026-03-23 L McKinney MO490 pending 2026-03-17 L Clouse AM2685 to AM2270 filed 2026-03-04 L McKinney FA1021 to AM2270 filed 2026-03-04 L McKinney MO492 Recommit to the Health and Human Services Committee filed 2026-03-04 L McKinney MO491 Bracket until April 17, 2026 filed 2026-03-04 L McKinney MO490 Indefinitely postpone pursuant to Rule 6, Sec. 3(f) filed 2026-02-27 L Health and Human Services AM2270 filed 2026-02-27 L Placed on General File with AM2270 2026-02-12 L Health and Human Services priority bill 2026-01-13 L Notice of hearing for January 23, 2026 2026-01-12 L Referred to Health and Human Services Committee 2026-01-09 L Kauth FA507 filed 2026-01-08 L Date of introduction

Votes

2026-03-23 Hardin AM2859 adopted Yea: 40 Nay: 0 2026-03-23 Hardin AM2555 adopted Yea: 38 Nay: 0 2026-03-23 Hardin AM2830 adopted Yea: 40 Nay: 0 2026-03-23 Hardin AM2829 adopted Yea: 31 Nay: 0 2026-03-23 Riepe AM2856 adopted Yea: 39 Nay: 0 2026-03-23 Health and Human Services AM2270 adopted Yea: 42 Nay: 0 2026-03-23 Advanced to Enrollment and Review Initial Yea: 47 Nay: 0 2026-04-01 Hardin AM2972 adopted Yea: 38 Nay: 0 2026-04-01 Ballard AM2970 adopted Yea: 31 Nay: 0 2026-04-01 DeBoer FA1140 adopted Yea: 33 Nay: 0 2026-04-01 DeBoer AM3044 adopted Yea: 36 Nay: 0 2026-04-10 Passed on Final Reading with Emergency Clause 49-0-0 Yea: 49 Nay: 0

Committee Referrals

2026-01-12 L Health and Human Services

Amendments

2026-01-09 Kauth FA507 2026-02-27 Health and Human Services AM2270 2026-03-04 McKinney MO490 2026-03-04 McKinney MO491 2026-03-04 McKinney MO492 2026-03-04 McKinney FA1021 2026-03-17 Clouse AM2685 2026-03-23 Hardin AM2859 2026-03-23 Hardin AM2555 2026-03-23 Hardin AM2829 2026-03-23 Hardin AM2830 2026-03-23 Riepe AM2856 2026-03-30 Enrollment and Review ER165 2026-03-30 Hardin AM2972 2026-03-31 Ballard AM2970 2026-03-31 Ballard AM3023 2026-04-01 DeBoer AM3044 2026-04-01 DeBoer FA1140 2026-04-07 Enrollment and Review ST83

Bill Text Versions

2026-01-08 Introduced 2026-04-07 Enrolled 2026-04-07 Engrossed Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Medical Assistance Act amendments Bridge to Independence Program eligibility Money follows the person program Prescription drug monitoring program Epinephrine in schools Alzheimer's Disease Support Act rename

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Last updated

Classification

Agency
NE Leg.
Published
April 10th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
LB867, 109th Nebraska Legislature

Who this affects

Applies to
Healthcare providers Insurers Government agencies
Industry sector
6211 Healthcare Providers
Activity scope
Medicaid program administration Child care eligibility Healthcare facility licensing
Geographic scope
US-NE US-NE

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Public Health Insurance Social Services

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