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LB958 Enacted: Doula Services Reimbursement and Home Care Benefits

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Summary

Nebraska Governor signed LB958 into law on April 10, 2026, with an emergency clause. The bill implements a home and community-based services waiver, establishes retroactive coverage for certain benefits, creates reimbursement mechanisms for doula services under the Medical Assistance Act, modifies the Nebraska Prenatal Plus Program, and sets limits for crisis assistance payments under the low-income home energy assistance program. The bill passed 48-1-0 on final reading with emergency clause, indicating immediate effect.

What changed

LB958 enacts significant changes to Nebraska's Medical Assistance Act, including implementation of a home and community-based services waiver and establishment of doula services reimbursement. The bill modifies the Nebraska Prenatal Plus Program and establishes limits for crisis assistance payments under the low-income home energy assistance program.

Healthcare providers, especially those offering maternal health services, should prepare for new reimbursement pathways for doula services under Medicaid. The emergency clause indicates the legislature intended immediate implementation, requiring state agencies to move quickly on waiver programs and retroactive coverage provisions. Insurers and managed care organizations administering Nebraska Medicaid benefits will need to update systems and policies to accommodate the new coverage requirements.

What to do next

  1. Healthcare providers offering doula services should review new reimbursement requirements under the Medical Assistance Act
  2. State Medicaid agency must implement home and community-based services waiver provisions
  3. Monitor for Nebraska Department of Health and Human Services guidance on retroactive coverage implementation

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 / LB958 Signed by Governor LB958 LB Signed by Governor 2026-04-10

Provide for implementation of a home and community-based services waiver, retroactive coverage of certain benefits, and reimbursement of doula services and change reporting requirements under the Medical Assistance Act, change provisions relating to the Nebraska Prenatal Plus Program, and provide limits for crisis assistance payments under the low-income home energy assistance program

Bill Details

State Nebraska

Session 109th Legislature

Chamber House

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

LegiScan View on LegiScan

Sponsors

Machaela Cavanaugh (Sen - N)

Action History

2026-04-10 L President/Speaker signed 2026-04-10 L Passed on Final Reading with Emergency Clause 48-1-0 2026-04-10 L Dispensing of reading at large approved 2026-04-08 L Enrollment and Review ST96 recorded 2026-04-08 L Enrollment and Review ST96 filed 2026-04-08 L Placed on Final Reading with ST96 2026-04-08 L Advanced to Enrollment and Review for Engrossment 2026-04-08 L Spivey AM3128 adopted 2026-04-08 L Spivey AM3119 adopted 2026-04-08 L Dungan AM2977 adopted 2026-04-08 L Cavanaugh, M. AM3018 withdrawn 2026-04-08 L Kauth FA614 withdrawn 2026-04-08 L Enrollment and Review ER181 adopted 2026-04-07 L Spivey AM3128 filed 2026-04-07 L Spivey AM3119 filed 2026-04-07 L Dungan AM2977 filed 2026-04-07 L Enrollment and Review ER181 filed 2026-04-07 L Placed on Select File with ER181 2026-04-01 L Cavanaugh, M. AM3018 filed 2026-03-31 L Advanced to Enrollment and Review Initial 2026-03-31 L Cavanaugh, M. AM2345 withdrawn 2026-03-31 L Cavanaugh, M. AM1992 withdrawn 2026-03-31 L Health and Human Services AM2766 adopted 2026-03-23 L Health and Human Services AM2766 filed 2026-03-23 L Placed on General File with AM2766 2026-02-26 L Cavanaugh, M. AM2345 filed 2026-02-12 L Cavanaugh, M. priority bill 2026-02-11 L Cavanaugh, M. AM1992 filed 2026-02-10 L Notice of hearing for February 26, 2026 2026-01-16 L Dungan name added 2026-01-14 L Referred to Health and Human Services Committee 2026-01-13 L Kauth FA614 filed 2026-01-12 L Date of introduction

Votes

2026-03-31 Health and Human Services AM2766 adopted Yea: 43 Nay: 0 2026-03-31 Advanced to Enrollment and Review Initial Yea: 45 Nay: 0 2026-04-08 Dungan AM2977 adopted Yea: 42 Nay: 0 2026-04-08 Spivey AM3119 adopted Yea: 32 Nay: 5 2026-04-08 Spivey AM3128 adopted Yea: 32 Nay: 11 2026-04-10 Passed on Final Reading with Emergency Clause 48-1-0 Yea: 48 Nay: 1

Committee Referrals

2026-01-14 L Health and Human Services

Amendments

2026-01-13 Kauth FA614 2026-02-11 Cavanaugh, M. AM1992 2026-02-26 Cavanaugh, M. AM2345 2026-03-23 Health and Human Services AM2766 2026-04-01 Cavanaugh, M. AM3018 2026-04-07 Enrollment and Review ER181 2026-04-07 Dungan AM2977 2026-04-07 Spivey AM3119 2026-04-07 Spivey AM3128 2026-04-08 Enrollment and Review ST96

Bill Text Versions

2026-01-12 Introduced 2026-04-08 Enrolled 2026-04-08 Engrossed Legislative data powered by LegiScan (CC BY 4.0)

Named provisions

Medical Assistance Act modifications Nebraska Prenatal Plus Program changes Low-income home energy assistance program limits

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Last updated

Classification

Agency
NE Legislature
Published
April 10th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
LB958, 109th Nebraska Legislature

Who this affects

Applies to
Healthcare providers Public health authorities Insurers
Industry sector
6211 Healthcare Providers 6221 Hospitals & Health Systems 5242 Health Insurance
Activity scope
Medicaid reimbursement Home care services Maternal health services
Geographic scope
US-NE US-NE

Taxonomy

Primary area
Healthcare
Operational domain
Healthcare
Topics
Insurance Public Health

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