Nebraska 109th Legislature (2025-2026) Status: Enacted

LB 382 — Provide for use of the Medicaid Managed Care Excess Profit Fund to reimburse designated area agencies on aging and state intent regarding appropriations

Last action — Approved by Governor on May 30, 2025

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Legislature
  4. ✓
    To Executive
  5. 5
    Enacted

This bill has been enacted into law. Introduced January 16, 2025. Enacted.

Signed by Governor Jim Pillen (Republican) on June 02, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 56% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Mixed recorded votes

    2 passed, 3 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

59 added · 214 removed

Plain-language change summary

The recent amendments to Bill LB 382 mainly involved adjustments to the language in section 68-996, which outlines how the Medicaid Managed Care Excess Profit Fund will be utilized. The changes specify that funds will be directed not only to cover losses from previous years but also to support a variety of health services for both adults and children, including home visitation programs and access to medical devices like continuous glucose monitors. These additions are important as they aim to enhance health services and address existing gaps in care, ultimately benefiting vulnerable populations in Nebraska.

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Latest
ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 E AND R AMENDMENTS TO LB 382   Introduced by Guereca, 7, Chairman Enrollment and Review 1.
LB382 LB382 2025 LEGISLATIVE BILL 382 Approved by the Governor May 30, 2025   Introduced by Meyer, 17;
Strike the original sections and all amendments thereto and insert the following new sections:
Cavanaugh, M., 6;
Section 1.
Guereca, 7;
(1) The Department of Health and Human Services shall establish a Family Resource and Juvenile Assessment Center Pilot Program for a period of five years in cities of the metropolitan class areas, that shall operate twenty-four hours a day, seven days a week.
Quick, 35;
The pilot program shall be developed in partnership with local grassroots organizations, community stakeholders, and advisors representing youth and families impacted by the juvenile justice system.
Rountree, 3;
(2) A Family Resource and Juvenile Assessment Center means a facility designed to provide support, assessment, and intervention services for youth and families involved in, or at risk of, entering the juvenile justice system.
DeKay, 40.
The goal of the centers is to offer comprehensive, community-based solutions that address underlying issues contributing to juvenile delinquency, including family dynamics, mental health, substance abuse, and educational challenges.
  A BILL FOR AN ACT relating to aging services;
Sec.
to amend section 81-2224, Reissue Revised Statutes of Nebraska, and section 68-996, Revised Statutes Cumulative Supplement, 2024;
2.
to provide for appropriation of funds from the Medicaid Managed Care Excess Profit Fund to reimburse designated area agencies on aging;
 The pilot program established pursuant to section 1 of this act shall:
and to repeal the original sections.
(1) Provide comprehensive support resources to prevent youth from entering or escalating within the juvenile justice system;
Be it enacted by the people of the State of Nebraska, Section 1.
(2) Minimize individual and community harm by addressing issues before they lead to greater involvement with social services, family services, and adult criminal justice systems;
and (3) Foster community trust and engagement by integrating culturally relevant services delivered by, and for, the communities served.
Sec.
3.
(1) The Department of Health and Human Services shall establish a designation process for family resource and juvenile -1- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 assessment centers to ensure adherence to high-quality standards in service delivery, staff qualifications, and organizational effectiveness.
(2) A center seeking designation shall complete a comprehensive self-assessment based on the national Standards of Quality for Family Strengthening and Support or a similar benchmark framework and shall submit an application and the self-assessment to the department for review.
(3) The department shall conduct site visits and staff interviews as part of the review process to verify self-assessment findings and confirm compliance with designation standards.
(4) A center that meets the designation criteria will receive official designation.
A center that does not meet the designation criteria shall receive feedback and technical assistance so that such center may improve and reapply for designation.
(5) Two centers shall be selected for the pilot program established pursuant to section 1 of this act.
Sec.
4.
To receive designation as a family resource and juvenile assessment center under section 3 of this act, an applicant shall meet the following criteria:
(1) Offer a range of core services, including parenting support, youth counseling, economic success initiatives, early childhood programs, conflict resolution, mental health services, and substance abuse prevention;
(2) employ professionals trained in family support principles, cultural competency, trauma-informed care, and the strengthening families framework;
(3) develop partnerships with local grassroots organizations to provide culturally relevant services, outreach, and trust-building within the community;
(4) demonstrate a clear, effective organizational framework that supports service delivery, continuous quality improvement, and sustainable operations;
and (5) implement data collection processes to assess service impact and outcomes for youth and families, ensuring program adjustments based on feedback.
Sec.
5.
(1) Each family resource and juvenile assessment center -2- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 shall host multiple community providers, grassroots organizations, and embedded community navigators to assess and serve the immediate and ongoing needs of youth and families.
(2) Each center shall provide assessments and services free of charge to families and maintain active membership in the National Assessment Center Association.
(3) The purpose of the assessment shall be to (a) enable youth and families to discuss a family's unique dynamic, challenges, and goals in a safe, culturally respectful environment, (b) identify the origin of presenting issues and provide comprehensive service referrals in partnership with local organizations and businesses, and (c) engage youth and families in creating tailored action plans for long-term success.
Sec.
6.
(1) Each family resource and juvenile assessment center shall integrate culturally relevant and trauma-informed services, including (a) tutoring, (b) mentoring from community leaders, including those with lived experience in the justice system, (c) conflict resolution and anger management training, (d) mental health and wellness services provided by culturally sensitive professionals, (e) social skills and job-readiness training, (f) financial literacy programs, (g) youth and family counseling, (h) cognitive behavioral therapy, (i) drug and substance abuse prevention and intervention, and (j) food and clothing assistance and resource navigation.
(2) Each center shall establish community partnerships to provide apprenticeships, vocational training, and mentorship opportunities with local businesses, trades, and community organizations.
Sec.
7.
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Each family resource and juvenile assessment center shall (1) have a youth advisory council and parent advisory board composed of community members to provide ongoing feedback to ensure services remain relevant, effective, and responsive, (2) host regular outreach events, workshops, and open houses in partnership with schools, faith-based groups, and community organizations, to create a bridge for preventive -3- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 engagement with at-risk youth and their families, and (3) employ individuals with established community ties and lived experience to guide youth and families through available services, act as mentors, and assist with follow-up to ensure sustained engagement.
Sec.
8.
Each family resource and juvenile assessment center shall implement a data collection system to assess program effectiveness, track youth and family outcomes, and incorporate feedback directly from those served.
The data collected shall be used to adjust and refine services, with a focus on measuring progress toward keeping youth out of the juvenile justice system and achieving positive life outcomes.
Sec.
9.
Each family resource and juvenile assessment center shall offer ongoing support to youth after they complete the initial service period.
This support may include alumni mentoring programs, periodic check-ins, or additional family resources as youth transition into adulthood or exit from other systems of care.
Sec.
10.
Funding for family resource and juvenile assessment centers shall be allocated to prioritize partnerships with local grassroots organizations and businesses to sustain services and provide direct community investment.
Subject to available funds, each designated center shall receive up to five hundred thousand dollars annually from the Medicaid Managed Care Excess Profit Fund.
If such funds are not available from the Medicaid Managed Care Excess Profit Fund, no General Funds may be used.
No more than ten percent of funds appropriated for the Family Resource and Juvenile Assessment Center Pilot Program, up to one hundred thousand dollars per year, shall be used to administer the pilot program.
Sec.
11.
The Department of Health and Human Services shall conduct an annual evaluation of the Family Resource and Juvenile Assessment Center Pilot Program's impact on youth and family well-being, community trust, and reduction in juvenile justice system involvement to inform future program developments under sections 1 to 11 of this act.
-4- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 Sec.
12.
(2) The fund shall first be used to offset any losses under subdivision (2) of section 68-995 and then to provide for (a) services addressing the health needs of adults and children under the Medical Assistance Act, including filling service gaps, (b) providing system improvements, (c) providing evidence-based early intervention home visitation programs, (d) providing medical respite services, (e) translation and interpretation services, (f) providing coverage for continuous glucose monitors as described in section 68-911, (g) providing other services sustaining access to care, (h) services under the Nebraska Prenatal Plus Program, (i) and providing grants pursuant to the Intergenerational Care Facility Incentive Grant Program, (j) the Family Resource and Juvenile Assessment Center Pilot Program, and (k) beginning on the operative date of sections 13 and 14 of this act, reimbursement of the actual costs of providing eligible activities and services described in section 81-2222, as determined by the Legislature.
(2) The fund shall first be used to offset any losses under subdivision (2) of section 68-995 and then to provide for (a) services addressing the health needs of adults and children under the Medical Assistance Act, including filling service gaps, (b) providing system improvements, (c) providing evidence-based early intervention home visitation programs, (d) providing medical respite services, (e) translation and interpretation services, (f) providing coverage for continuous glucose monitors as described in section 68-911, (g) providing other services sustaining access to care, (h) services under the Nebraska Prenatal Plus Program, (i) and providing grants pursuant to the Intergenerational Care Facility Incentive Grant Program, and (j) reimbursement of the actual costs of providing eligible activities and services described in section 81-2222, as determined by the Legislature.
13.
2.
An equal amount -5- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 shall be distributed to each of the state's eight area agencies on aging.
An equal amount shall be distributed to each of the state's eight area agencies on aging.
14.
3.
Such reimbursement shall be made from (1) state funds appropriated by the Legislature, including, but not limited to, cash fund appropriations as described in section 13 of this act, (2) federal funds allocated to the department, including federal funds allocated under the Older Americans Act, as now or hereafter amended, and (3) other funds as available.
Such reimbursement shall be made from (1) state funds appropriated by the Legislature, including, but not limited to, cash fund appropriations as described in section 2 of this act, (2) federal funds allocated to the department, including federal funds allocated under the Older Americans Act, as now or hereafter amended, and (3) other funds as available.
15.
4.
Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, and 16 of this act become operative on September 1, 2025.
Original section 81-2224, Reissue Revised Statutes of Nebraska, and section 68-996, Revised Statutes Cumulative Supplement, 2024, are repealed.
Sections 13, 14, and 17 of this act become operative three calendar months after the adjournment of this legislative session.
-1-
The other sections of this act become operative on their effective date.
Sec.
16.
Original section 68-996, Revised Statutes Cumulative Supplement, 2024, is repealed.
Sec.
17.
Original section 81-2224, Reissue Revised Statutes of Nebraska, is repealed.
Sec.
18.
Since an emergency exists, this act takes effect when passed and approved according to law.
2.
On page 1, strike beginning with "aging" in line 1 through line 6 -6- ER35 ER35 LB382 LB382 MJP - 04/10/2025 MJP - 04/10/2025 and insert "government services;
to amend section 81-2224, Reissue Revised Statutes of Nebraska, and section 68-996, Revised Statutes Cumulative Supplement, 2024;
to provide for establishment of a Family Resource and Juvenile Assessment Center Pilot Program;
to provide powers and duties for the Department of Health and Human Services;
to authorize use of the Medicaid Managed Care Excess Profit Fund for the pilot program and for activities and services under the Nebraska Community Aging Services Act;
to state intent regarding appropriations, disbursement, and reimbursement;
to provide operative dates;
to repeal the original sections;
and to declare an emergency.".
-7-
View plain text versions (6)

Action History

  1. Approved by Governor on May 30, 2025

  2. Passed on Final Reading 48-1*-0

  3. President/Speaker signed

  4. Presented to Governor on May 28, 2025

  5. Placed on Final Reading with ST33

  6. Enrollment and Review ST33 filed

  7. Enrollment and Review ST33 recorded

  8. Enrollment and Review ER35 adopted

  9. McKinney MO167 withdrawn

  10. McKinney MO168 withdrawn

  11. McKinney MO169 withdrawn

  12. McKinney MO170 withdrawn

  13. Meyer AM999 adopted

  14. Advanced to Enrollment and Review for Engrossment

  15. McKinney MO167 Indefinitely postpone filed

  16. McKinney MO168 Recommit to the Health and Human Services Committee filed

  17. McKinney MO169 Bracket until June 9, 2025 filed

  18. McKinney MO170 Recommit to the Health and Human Services Committee filed

  19. Meyer AM999 filed

  20. Placed on Select File with ER35

  21. Enrollment and Review ER35 filed

  22. Cavanaugh, M. MO152 Indefinitely postpone filed

  23. Cavanaugh, M. MO152 failed

  24. Conrad FA83 filed

  25. Conrad FA83 adopted

  26. Advanced to Enrollment and Review Initial

  27. DeKay name added

  28. Placed on General File

  29. Meyer priority bill

  30. Notice of hearing for February 19, 2025

  31. Referred to Health and Human Services Committee

  32. Date of introduction

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 47 not signed on · 30 voted No

Sponsors (1)

Co-sponsors (1)

Not signed on (47)

47 members have not signed on to this bill.

Show all 47 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 48 Yea · 1 Nay
Party YeaNayPresentNot Voting
Unaffiliated 48100
Total 48100
% of votes cast 98%2%0%0%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Nay
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Yea
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Meyer AM999 adopted

Failed 31 Yea · 0 Nay · 18 Other
Party YeaNayPresentNot Voting
Unaffiliated 310018
Total 310018
% of votes cast 63%0%0%37%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Not Voting
Bob Andersen — Yea
Bob Hallstrom — Not Voting
Brian Hardin — Not Voting
Carolyn Bosn — Not Voting
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Not Voting
George Dungan — Not Voting
Jana Hughes — Not Voting
Jane Raybould — Not Voting
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Not Voting
John Fredrickson — Not Voting
Kathleen Kauth — Yea
Loren Lippincott — Not Voting
Machaela Cavanaugh — Not Voting
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Not Voting
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Yea
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Not Voting
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Conrad FA83 adopted

Failed 27 Yea · 7 Nay · 15 Other
Party YeaNayPresentNot Voting
Unaffiliated 277015
Total 277015
% of votes cast 55%14%0%31%
How each member voted (49)
Member Party Vote
Meyer — Nay
McKeon — Not Voting
Ashlei Spivey — Yea
Barry DeKay — Not Voting
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Nay
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Not Voting
Dan Lonowski — Not Voting
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Nay
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Nay
Loren Lippincott — Not Voting
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Not Voting
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Not Voting
R. Brad von Gillern — Nay
Rick Holdcroft — Not Voting
Rita Sanders — Nay
Robert Clements — Not Voting
Robert Dover — Not Voting
Stan Clouse — Nay
Tanya Storer — Not Voting
Teresa Ibach — Not Voting
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Failed 0 Yea · 28 Nay · 21 Other
Party YeaNayPresentNot Voting
Unaffiliated 028021
Total 028021
% of votes cast 0%57%0%43%
How each member voted (49)
Member Party Vote
Meyer — Nay
McKeon — Not Voting
Ashlei Spivey — Nay
Barry DeKay — Nay
Beau Ballard — Nay
Ben Hansen — Not Voting
Bob Andersen — Not Voting
Bob Hallstrom — Nay
Brian Hardin — Not Voting
Carolyn Bosn — Nay
Christy Armendariz — Not Voting
Dan Lonowski — Not Voting
Dan Quick — Nay
Danielle Conrad — Nay
Dave Murman — Not Voting
Dave Wordekemper — Nay
Dunixi Guereca — Not Voting
Eliot Bostar — Not Voting
George Dungan — Nay
Jana Hughes — Nay
Jane Raybould — Nay
Jared Storm — Not Voting
Jason Prokop — Not Voting
John Arch — Nay
John Cavanaugh — Nay
John Fredrickson — Nay
Kathleen Kauth — Nay
Loren Lippincott — Nay
Machaela Cavanaugh — Not Voting
Margo Juarez — Nay
Megan Hunt — Not Voting
Merv Riepe — Nay
Mike Jacobson — Nay
Mike Moser — Nay
Myron Dorn — Nay
Paul Strommen — Not Voting
R. Brad von Gillern — Nay
Rick Holdcroft — Nay
Rita Sanders — Not Voting
Robert Clements — Not Voting
Robert Dover — Not Voting
Stan Clouse — Nay
Tanya Storer — Not Voting
Teresa Ibach — Not Voting
Terrell McKinney — Nay
Tom Brandt — Nay
Tony Sorrentino — Not Voting
Victor Rountree — Nay
Wendy DeBoer — Not Voting

Official roll call →

Passed 37 Yea · 2 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 372010
Total 372010
% of votes cast 76%4%0%20%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Nay
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Not Voting
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Nay
Loren Lippincott — Not Voting
Machaela Cavanaugh — Not Voting
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Not Voting
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Not Voting
Robert Dover — Yea
Stan Clouse — Yea
Tanya Storer — Not Voting
Teresa Ibach — Not Voting
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors LB 382?
LB 382 is sponsored by Glen Meyer and Barry DeKay.
What is the current status of LB 382?
This bill has been enacted into law. Introduced January 16, 2025. Enacted.
Where can I track LB 382?
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