LB 929 — Provide for managed care organizations to pay the deductible, cost sharing, or similar charges on behalf of medicaid enrollees

ER182 ER182 LB929 LB929 2026CSO LEGISLATURE- OF04/03/2026 NEBRASKACSO ONE- HUNDRED04/03/2026 NINTHE LEGISLATUREAND SECONDR SESSIONAMENDMENTS LEGISLATIVETO BILLLB 929 FINAL READING   Introduced by Fredrickson,Guereca, 20.7, Chairman Enrollment and Review 1.

ReadOn firstpage time1, Januarystrike 09,beginning 2026with Committee:"to" in line 2 through "prescribed" in line 5 and insert "to allow managed care organizations to pay deductibles, cost sharing, or similar charges on behalf of medicaid enrollees".

Health-1- and Human Services A BILL FOR AN ACT relating to the medical assistance program;

to amend section 68-912, Revised Statutes Supplement, 2025;

to allow managed care organizations to pay deductibles, cost sharing, or similar charges on behalf of medicaid enrollees;

and to repeal the original section.

Be it enacted by the people of the State of Nebraska, -1- LB929 LB929 2026 Section 1.

Section 68-912, Revised Statutes Supplement, 2025, is amended to read:

68-912 (1) The department may establish (a) premiums, copayments, and deductibles for goods and services provided under the medical assistance program, (b) limits on the amount, duration, and scope of goods and services that recipients may receive under the medical assistance program subject to subsection (5) of this section, and (c) requirements for recipients of medical assistance as a necessary condition for the continued receipt of such assistance, including, but not limited to, active participation in care coordination and appropriate disease management programs and activities.

(2) In establishing and limiting coverage for services under the medical assistance program, the department shall consider (a) the effect of such coverage and limitations on recipients of medical assistance and medical assistance expenditures, (b) the public policy in section 68-905, (c) the experience and outcomes of other states, (d) the nature and scope of benchmark or benchmark-equivalent health insurance coverage as recognized under federal law, and (e) other relevant factors as determined by the department.

(3) Coverage for mandatory and optional services and limitations on covered services as established by the department prior to July 1, 2006, shall remain in effect until revised, amended, repealed, or nullified pursuant to law.

Any proposed reduction or expansion of services or limitation of covered services by the department under this section shall be subject to the review requirements of section 68-909.

(4) Except as otherwise provided in this subsection, proposed rules and regulations under this section relating to the establishment of premiums, copayments, or deductibles for eligible recipients or limits on the amount, duration, or scope of covered services for eligible recipients shall not become effective until the conclusion of the earliest regular session of the Legislature in which there has been a -2- LB929 LB929 2026 reasonable opportunity for legislative consideration of such rules and regulations.

This subsection does not apply to rules and regulations that are (a) required by federal or state law, (b) related to a waiver in which recipient participation is voluntary, or (c) proposed due to a loss of federal matching funds relating to a particular covered service or eligibility category.

Legislative consideration includes, but is not limited to, the introduction of a legislative bill, a legislative resolution, or an amendment to pending legislation relating to such rules and regulations.

(5) Any limitation on the amount, duration, or scope of goods and services that recipients may receive under the medical assistance program shall give full and deliberate consideration to the role of home health services from private duty nurses in meeting the needs of a disabled family member or disabled person.

(6) The department shall permit a managed care organization under the medical assistance program to pay the deductible, cost sharing, or similar charges on behalf of medicaid enrollees as allowed under federal law.

Sec.

2.

Original section 68-912, Revised Statutes Supplement, 2025, is repealed.

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