LB 22 — Require the Department of Health and Human Services to file a state plan amendment for evidence-based nurse home-visitation services

LB22 LB22 2025 LEGISLATURELEGISLATIVE OFBILL NEBRASKA22 ONEApproved HUNDREDby NINTHthe LEGISLATUREGovernor FIRSTApril SESSION9, LEGISLATIVE2025 BILL 22 FINAL READING   Introduced by Dungan, 26;

Read  firstA timeBILL JanuaryFOR 09,AN 2025ACT Committee:relating to public health and welfare;

Health and Human Services A BILL FOR AN ACT relating to public health and welfare;

Be it enacted by the people of the State of Nebraska, -1- LB22 LB22 2025 Section 1.

Sections Sections 1 to 9 of this act shall be known and may be cited as the Family Home Visitation Act.

(1) (1) The department shall only fund a home visitation program that includes periodic home visits to improve the health, well-well-being, being, and self-sufficiencyself- sufficiency of parents and their children.

(2) Is associated with, or certified by, a national organization, an institution of higher education, or a national or state public health -2- LB22 LB22 2025 institute;

-3- LB22 LB22 2025 (f) Program model descriptions and model-specific outcomes;

-1- LB22 LB22 2025 (j) Wait list information, if applicable;

68-911 (1)68-911 (1) Medical assistance shall include coverage for health care and related services as required under Title XIX of the federal Social Security Act, including, but not limited to:

and -4- LB22 LB22 2025 (p) Federally qualified health center services.

(3) No later than July 1, 2009, the department shall submit a state plan amendment or waiver to the federal Centers for Medicare and Medicaid -5- LB22 LB22 2025 Services to provide coverage under the medical assistance program for community-based secure residential and subacute behavioral health services for all eligible recipients, without regard to whether the recipient has been ordered by a mental health board under the Nebraska Mental Health Commitment Act to receive such services.

and vision-vision-related related services.

(c) It is the intent of the Legislature that no more than six hundred thousand dollars be appropriated annually from the Medicaid Managed Care Excess -2- LB22 LB22 2025 Profit Fund, as described in section 68-996, for the purpose of implementing subdivision (5)(b) of this section.

Any amount in excess of six hundred thousand dollars shall be funded by the Medicaid -6- LB22 LB22 2025 Managed Care Excess Profit Fund.

(d) Once such waiver or state plan amendment is approved, the department shall submit a report to the Health and Human Services Committee of the Legislature on or before November 30 each year, which -7- LB22 LB22 2025 provides the (i) number of homeless individuals served at each facility, (ii) cost of the program, and (iii) amount of reduction in health care costs due to the program's implementation.

(b) The services described in subdivision (9)(a) of this section -8- LB22 LB22 2025 shall be funded by the Medicaid Managed Care Excess Profit Fund as described in section 68-996.

(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 -3- LB22 LB22 2025 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) the Nebraska Prenatal Plus Program, (i) and providing grants pursuant to the Intergenerational Care Facility Incentive Grant Program, and (j) evidence-based nurse home visiting services as determined by the Legislature.

-9- LB22 LB22 2025 (3) Any money in the fund available for investment shall be invested by the state investment officer pursuant to the Nebraska Capital Expansion Act and the Nebraska State Funds Investment Act.

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