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Nebraska Medicaid, Child Care, and Special Needs Trust Modifications

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Published January 8th, 2026
Detected April 1st, 2026
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Summary

Nebraska Legislature introduced LB867 on January 8, 2026, making comprehensive changes to Medicaid programs, child care, and special needs trusts. The bill creates a money follows the person Medicaid program, modifies nursing facility rates, updates eligibility for young adults in bridge to independence program, and renames several health and human services divisions and advisory councils.

What changed

LB867 modifies multiple healthcare and social services programs administered by the Nebraska Department of Health and Human Services. Key provisions include establishing a money follows the person program for Medicaid benefits, modifying Medicaid nursing facility rates and eligibility criteria, changing provisions for child care grants and youth afterschool employment eligibility, requiring certain schools to maintain epinephrine, and redirecting wholesale drug distributor license fees to the prescription drug monitoring program. The bill also renames the Alzheimer's Disease and Other Dementia Support Act, the Alzheimer's Advisory Council, the State Advisory Committee on Mental Health, and the Division of Developmental Disabilities.

Nebraska healthcare providers, insurers, schools, and government agencies should monitor LB867's progress through the legislative process. The bill eliminates several obsolete provisions including the Division of Medicaid and Long-Term Care Advisory Committee on Aging, Maternal and Child Health and Public Health Work Fund, and the Nurse Licensure Compact provisions. Affected parties should review current compliance procedures to identify necessary updates once the bill passes and takes effect.

What to do next

  1. Monitor LB867 progress through Nebraska Legislature for passage and effective date
  2. Review current Medicaid nursing facility rate calculation procedures for upcoming changes
  3. Assess school compliance requirements for epinephrine maintenance if the bill passes

Source document (simplified)

LB867 - 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

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Document Info

Text Copies

Committee Info

Additional Info

Document Info

Text Copies

  • Introduced

Committee Info

Additional Info

Notice
  • Please refer to the detailed view for current progress.
Legislation Status Legend

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History View Details

Amendments

History View Details

Submit Comments Online For LB867
| Date | Description | Journal | Vote |
| --- | --- | --- | --- |
| Mar 31, 2026 | Ballard AM3023 filed | 1419 | |
| Mar 31, 2026 | Ballard AM2970 filed | 1398 | |
| Mar 30, 2026 | Hardin AM2972 filed | 1367 | |
| Mar 30, 2026 | Enrollment and Review ER165 filed | 1358 | |
| Mar 30, 2026 | Placed on Select File with ER165 | 1358 | |
| Mar 23, 2026 | Advanced to Enrollment and Review Initial | 1214 | Vote |
| Mar 23, 2026 | Health and Human Services AM2270 adopted | 1214 | Vote |
| Mar 23, 2026 | Riepe AM2856 adopted | 1214 | Vote |
| Mar 23, 2026 | Riepe AM2856 to AM2270 filed | 1213 | |
| Mar 23, 2026 | Hardin AM2829 adopted | 1213 | Vote |
| Mar 23, 2026 | Hardin AM2829 to AM2270 filed | 1212 | |
| Mar 23, 2026 | Hardin AM2830 adopted | 1211 | Vote |
| Mar 23, 2026 | Hardin AM2830 to AM2270 filed | 1211 | |
| Mar 23, 2026 | Hardin AM2555 adopted | 1211 | Vote |
| Mar 23, 2026 | Hardin AM2555 to AM2270 filed | 1208 | |
| Mar 23, 2026 | Hardin AM2859 adopted | 1208 | Vote |
| Mar 23, 2026 | Hardin AM2859 to AM2270 filed | 1208 | |
| Mar 23, 2026 | Clouse AM2685 withdrawn | 1208 | |
| Mar 23, 2026 | McKinney FA1021 withdrawn | 1208 | |
| Mar 23, 2026 | McKinney MO492 withdrawn | 1208 | |
| Mar 23, 2026 | McKinney MO491 withdrawn | 1208 | |
| Mar 23, 2026 | McKinney MO490 withdrawn | 1208 | |
| Mar 23, 2026 | McKinney MO490 pending | 1207 | |
| Mar 17, 2026 | Clouse AM2685 to AM2270 filed | 1076 | |
| Mar 04, 2026 | McKinney FA1021 to AM2270 filed | 940 | |
| Mar 04, 2026 | McKinney MO492 Recommit to the Health and Human Services Committee filed | 940 | |
| Mar 04, 2026 | McKinney MO491 Bracket until April 17, 2026 filed | 940 | |
| Mar 04, 2026 | McKinney MO490 Indefinitely postpone pursuant to Rule 6, Sec. 3(f) filed | 940 | |
| Feb 27, 2026 | Health and Human Services AM2270 filed | 879 | |
| Feb 27, 2026 | Placed on General File with AM2270 | 879 | |
| Feb 12, 2026 | Health and Human Services priority bill | 694 | |
| Jan 13, 2026 | Notice of hearing for January 23, 2026 | 306 | |
| Jan 12, 2026 | Referred to Health and Human Services Committee | 244 | |
| Jan 09, 2026 | Kauth FA507 filed | 223 | |
| Jan 08, 2026 | Date of introduction | 203 | |

Amendments

Pending View Details

Enrollment and Review

ER165

Select File pending

Kauth

FA507

Strike the enacting clause - Select File pending

Hardin

AM2972

Select File pending

Ballard

AM2970

Select File pending

Ballard

AM3023

Select File pending Considered View Details

McKinney

MO490

withdrawn

McKinney

MO491

withdrawn

McKinney

MO492

withdrawn

Health and Human Services

AM2270

adopted

Vote

Riepe

AM2856

adopted

Vote

McKinney

FA1021

withdrawn

Clouse

AM2685

withdrawn

Hardin

AM2859

adopted

Vote

Hardin

AM2555

adopted

Vote

Hardin

AM2830

adopted

Vote

Hardin

AM2829

adopted

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Related Transcripts Appropriations Committee February 02, 2026 View Transcript Health and Human Services Committee January 23, 2026 View Transcript Floor Debate January 08, 2026 View Transcript

Named provisions

Special Needs Trusts Money Follows the Person Program Youth Afterschool Eligibility Letter Alzheimer's Disease and Other Dementia Support Act Division of Developmental Disabilities Medicaid Nursing Facility Rates Prescription Drug Monitoring Program

Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
NE Legislature
Published
January 8th, 2026
Instrument
Rule
Legal weight
Binding
Stage
Draft
Change scope
Substantive
Document ID
LB867

Who this affects

Applies to
Healthcare providers Government agencies Educational institutions
Industry sector
6211 Healthcare Providers 6221 Hospitals & Health Systems 9211 Government & Public Administration
Activity scope
Medicaid Benefits Administration Child Care Eligibility Healthcare Facility Licensing School Health Requirements
Geographic scope
US-NE US-NE

Taxonomy

Primary area
Healthcare
Operational domain
Compliance
Topics
Social Services Public Health

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