ONE HUNDRED NINTH LEGISLATURE - FIRST SESSION - 2025
COMMITTEE STATEMENT
LB22
Hearing Date: Thursday January 23, 2025
Committee On: Health and Human Services
Introducer: Dungan
One Liner: Require the Department of Health and Human Services to file a state plan amendment for
evidenced-based nurse home-visitation services
Roll Call Vote - Final Committee Action:
Advanced to General File with amendment(s)
Vote Results:
Aye: 7 Senators Ballard, Fredrickson, Hansen, Hardin, Meyer, Quick, Riepe
Nay:
Absent:
Present Not Voting:
Testimony:
Proponents: Representing:
Senator George Dungan Opening Presenter
Josephine Litwinowicz Higher Power Church
Kerry Kernen Lincoln Lancaster County Health Department
Kaitlyn Lickei self
Kelly Mackling Visiting Nurse Association
Sara Howard First Five Nebraska
Opponents: Representing:
Neutral: Representing:
* ADA Accommodation Written Testimony
Summary of purpose and/or changes:
LB 22 amends Medicaid provisions to require DHHS to file a state plan amendment for evidenced-based nurse home
visiting services. Also, this bill will use funds from the Medicaid Managed Care Excess Profit Fund for
evidence-based nurse home visiting services.
Sec. 1: No later than October 1, 2025, DHHS shall seek approval for federal matching funds from the federal Centers
for Medicare and Medicaid Services (CMS) through a state plan amendment to implement targeted case
management for evidence-based nurse home visiting services. These services shall consist of visits to a home by a
nurse and be available to postpartum mothers and children younger than three years of age enrolled in Medicaid or
the Children’s Health Insurance Program.
It is the intent of the Legislature to use the Medicaid Managed Care Excess Profit Fund for these services.
Committee Statement: LB22
Health and Human Services Committee
Page 1 304719ffe8ae2076f63e5f3a45c37898 Sec. 2: Adds evidence-based nurse home visiting services to the funding in the Medicaid Managed Care Excess
Profit Fund.
Sec. 3: Repealer
Explanation of amendments:
AM102 to LB 22 strikes children younger than 3 years old and replaces it with children less than 6 months of age.
Also, AM102 strikes the services through the Children's Health Insurance Program and limits it to those postpartum
mothers and children (6 months and younger) enrolled in Medicaid.
Brian Hardin, Chairperson
Committee Statement: LB22
Health and Human Services Committee
Page 2 304719ffe8ae2076f63e5f3a45c37898