This bill amends section 68-912 of the Revised Statutes Supplement, 2025, to establish new requirements for the Department of Health and Human Services regarding deductions, cost sharing, and similar charges for Medicaid enrollees. Notably, the bill specifies that the department shall not require any deductions or cost-sharing unless mandated by federal law. Additionally, it outlines that any deductions or cost-sharing required by federal law must be implemented no earlier than October 1, 2028, and sets conditions for how these charges are to be managed, including allowing managed care organizations to cover these costs on behalf of enrollees and prohibiting providers from denying services if an enrollee does not pay the required charges.

The bill also retains existing provisions that allow the department to establish premiums, copayments, and deductibles for services under the medical assistance program while ensuring that any limitations on services consider the needs of disabled individuals. Furthermore, it emphasizes the importance of legislative review for proposed rules and regulations related to cost-sharing and service limitations, ensuring that such changes are subject to legislative consideration before taking effect. The original section 68-912 is repealed as part of this amendment.

Statutes affected:
Introduced: 68-912