Nebraska 109th Legislature (2025-2026) Status: In Committee

LB 138 — Change provisions relating to pharmacy dispensing fees under the Medical Assistance Act

Last action — Indefinitely postponed

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

This bill is in committee in the Legislature. Introduced January 13, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Legislature.

Prognosis

Stalled 16% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

The bill amends existing law to change pharmacy dispensing fee reimbursements for independent and other pharmacies under Medicaid in Nebraska.

  • 68-9,111

    The department shall establish a fee-for-service pharmacy dispensing fee reimbursement of ten dollars and thirty-eight cents per prescription for any independent pharmacy until a cost-of-dispensing survey is completed. → Beginning with fiscal year 2024-25, contingent upon implementation of the contractual agreements with medicaid managed care organizations as described in subsection (2) of this section, the department shall establish a fee-for-service pharmacy dispensing fee reimbursement of ten dollars and thirty-eight cents per prescription for any independent pharmacy until a cost-of-dispensing survey is completed.

    The start date for the established reimbursement fee for independent pharmacies is now contingent upon contractual agreements starting from fiscal year 2024-25.

  • 68-9,111

    Effective July 1, 2026, reimbursement of the dispensing fee for independent pharmacies shall be ten dollars and thirty-eight cents per prescription. → Effective July 1, 2026, reimbursement of the dispensing fee for independent pharmacies shall be ten dollars and thirty-eight cents per prescription. For all other pharmacies, as defined in section 71-425, and mail order pharmacies, reimbursement shall be paid per prescription as follows: (a) For pharmacies with fewer than thirty thousand prescriptions per year, ten dollars and thirty-eight cents; (b) for pharmacies with thirty thousand or more prescriptions and fewer than seventy thousand prescriptions per year, nine dollars and fifty-one cents; and (c) for pharmacies with seventy thousand or more prescriptions per year, eight dollars and thirty cents.

    The bill establishes a tiered reimbursement system for pharmacies based on the number of prescriptions filled annually, while maintaining the fee for independent pharmacies.

  • 68-9,111

    No later than July 1, 2026, any pharmacy except a mail order pharmacy, that is the only enrolled pharmacy within a thirty-mile radius from another pharmacy shall be reimbursed a dispensing fee of ten dollars and thirty-eight cents per prescription. → No later than July 1, 2026, any pharmacy except a mail order pharmacy, that is the only enrolled pharmacy within a thirty-mile radius from another pharmacy shall be reimbursed a dispensing fee of ten dollars and thirty-eight cents per prescription.

    This provision ensures that isolated pharmacies receive the same dispensing fee as independent pharmacies regardless of their location.

  • 68-9,111

    No later than July 1, 2026, the department shall complete a cost-of-dispensing survey as a follow-up to the survey released in December, 2024, and electronically submit a report to the Clerk of the Legislature that provides recommendations for adjusting pharmacy dispensing fees annually to ensure fair and adequate reimbursement for all pharmacies participating in the medical assistance program. → No later than July 1, 2026, the department shall complete a cost-of-dispensing survey as a follow-up to the survey released in December, 2024, and electronically submit a report to the Clerk of the Legislature that provides recommendations for adjusting pharmacy dispensing fees annually to ensure fair and adequate reimbursement for all pharmacies participating in the medical assistance program.

    This change requires the department to conduct follow-up surveys to inform future adjustments to pharmacy dispensing fees.

  • 68-9,111

    The actual dispensing fee shall be determined by a cost-of-dispensing survey administered by the department and completed by all medical assistance program participating independent pharmacies every two years.

    A periodic survey will establish the actual dispensing fee, ensuring it reflects current costs.

Action History

  1. Indefinitely postponed

  2. Title printed. Carryover bill

  3. Quick name added

  4. Notice of hearing for January 29, 2025

  5. Referred to Health and Human Services Committee

  6. Date of introduction

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 47 not signed on

Sponsors (1)

Co-sponsors (1)

Not signed on (47)

47 members have not signed on to this bill.

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"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

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors LB 138?
LB 138 is sponsored by Merv Riepe and Dan Quick.
What is the current status of LB 138?
This bill is in committee in the Legislature. Introduced January 13, 2025. It must pass committee before a floor vote.
Where can I track LB 138?
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