Bill Summary – FastDemocracy

LB933                                                                              LB933
                                                                              2024
                                LEGISLATURE OF NEBRASKA
                          ONE HUNDRED EIGHTH LEGISLATURE
                                     SECOND SESSION
                       LEGISLATIVE BILL 933
        Introduced by Bosn, 25.
        Read first time January 04, 2024
        Committee: Health and Human Services
   A BILL FOR AN ACT relating to the Medical Assistance Act; to amend
        section   68-911,     Revised Statutes Supplement,   2023;   to change
        coverage requirements for continuous glucose monitors; and to repeal
       the original section.
    Be it enacted by the people of the State of Nebraska,
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LB933                                                                                       LB933
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        Section 1. Section 68-911, Revised Statutes Supplement, 2023, is
    amended to read:
        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:
       (a) Inpatient and outpatient hospital services;
       (b) Laboratory and X-ray services;
       (c) Nursing facility services;
       (d) Home health services;
        (e) Nursing services;
        (f) Clinic services;
        (g) Physician services;
        (h) Medical and surgical services of a dentist;
        (i) Nurse practitioner services;
        (j) Nurse midwife services;
        (k) Pregnancy-related services;
        (l) Medical supplies;
        (m) Mental health and substance abuse services;
        (n)    Early and periodic screening and diagnosis and treatment
    services for children which shall include both physical and behavioral
    health screening, diagnosis, and treatment services;
        (o) Rural health clinic services; and
        (p) Federally qualified health center services.
        (2) In addition to coverage otherwise required under this section,
    medical assistance may include coverage for health care and related
    services as permitted but not required under Title XIX of the federal
    Social Security Act, including, but not limited to:
        (a) Prescribed drugs;
        (b)   Intermediate care facilities for persons with developmental
    disabilities;
        (c) Home and community-based services for aged persons and persons
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LB933                                                                                           LB933
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   with disabilities;
          (d) Dental services;
          (e) Rehabilitation services;
          (f) Personal care services;
          (g) Durable medical equipment;
          (h) Medical transportation services;
          (i) Vision-related services;
          (j) Speech therapy services;
          (k) Physical therapy services;
          (l) Chiropractic services;
          (m) Occupational therapy services;
          (n) Optometric services;
          (o) Podiatric services;
          (p) Hospice services;
          (q) Mental health and substance abuse services;
          (r) Hearing screening services for newborn and infant children; and
          (s) Administrative expenses related to administrative activities,
   including outreach services, provided by school districts and educational
   service units to students who are eligible or potentially eligible for
   medical assistance.
          (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
   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.
          (4) On or before October 1, 2014, the department, after consultation
   with the State Department of   Education,   shall submit    a state plan
   amendment to the federal Centers for Medicare and Medicaid Services, as
   necessary, to provide that the following are direct reimbursable services
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LB933                                                                                        LB933
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    when provided by school districts as part of an individualized education
   program or an individualized family service plan: Early and periodic
    screening,     diagnosis,   and treatment services for children;    medical
    transportation services;      mental health services;       nursing services;
    occupational therapy services; personal care services; physical therapy
    services; rehabilitation services; speech therapy and other services for
    individuals with speech, hearing, or language disorders; and vision-
    related services.
        (5) No later than January 1, 2023, the department shall provide
    coverage for continuous glucose monitors under the medical assistance
    program for all eligible recipients who have a prescription for such
   device. Eligible recipients shall include all individuals who meet local
    coverage determinations,     as defined in   section    1869(f)(2)(B)      of the
    federal Social Security Act, as amended, as such act existed on January
    1, 2024, and shall include individuals with gestational diabetes.
       (6) On or before October 1, 2023, the department shall seek federal
   approval for federal matching funds from the federal Centers for Medicare
   and Medicaid Services through a state plan amendment or waiver to extend
    postpartum coverage for beneficiaries from sixty days to at least six
    months. Nothing in this subsection shall preclude the department from
    submitting a state plan amendment for twelve months.
       Sec. 2.     Original section 68-911, Revised Statutes Supplement, 2023,
   is repealed.
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Statutes affected: 
Introduced: 68-911