This bill amends several sections of the Medical Assistance Act in Nebraska, specifically focusing on the provisions related to supplemental reimbursement for ground emergency medical transport. Key changes include the calculation of supplemental reimbursement, which will now be based on actual and allowable costs rather than a per-transport basis. Additionally, the bill mandates that governmental entities seeking reimbursement must certify compliance with federal regulations as they existed on January 1, 2025, and provide supporting evidence for their claims. The Department of Health and Human Services is also tasked with seeking necessary federal approvals for implementing these changes.

Further amendments include a shift in the timeline for the department to seek federal approvals, now set for January 1, 2026, and a requirement for the department to submit claims for federal financial participation based on allowable expenditures under federal law. The bill also clarifies that if a judicial or federal determination invalidates the supplemental reimbursement for certain providers, the department's chief executive officer must declare the reimbursement inoperative. Overall, the bill aims to streamline the reimbursement process while ensuring compliance with federal guidelines.

Statutes affected:
Introduced: 68-982, 68-985, 68-986, 68-987, 68-988