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LB 610

Change provisions relating to supplemental reimbursement for ground emergency medical transport under the Medical Assistance Act

109th Legislature (2025-2026) Introduced by Eliot Bostar

LB 610 establishes a supplemental Medicaid reimbursement program for ground emergency medical transport providers, increasing payments to improve access for Medicaid patients.

Provisions/portions of LB610 amended into LB380 by AM814
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Bill Summary · LB 610

Summary of LB 610: Supplemental Reimbursement for Ground Emergency Medical Transport

Purpose and Intent

The main purpose of LB 610 is to establish a supplemental reimbursement program under the Medical Assistance Act for ground emergency medical transport (GEMT) services provided to Medicaid patients. The bill aims to increase the reimbursement rates for GEMT providers, many of whom have struggled with low Medicaid payment levels that do not cover their full costs of operations.

Key Provisions

  • Requires the Nebraska Department of Health and Human Services (DHHS) to seek federal approval for a supplemental reimbursement program for GEMT services provided to Medicaid recipients
  • Establishes a methodology for calculating the supplemental reimbursement amount, which would be based on the difference between a provider's cost of delivering GEMT services and the standard Medicaid reimbursement rate
  • Allows GEMT providers to voluntarily participate in the supplemental reimbursement program by providing necessary data on their costs
  • Requires DHHS to obtain approval from the federal Centers for Medicare and Medicaid Services (CMS) for the supplemental reimbursement program
  • Specifies that the supplemental payments would be funded by a combination of federal Medicaid matching funds and provider-related taxes or fees

Affected Parties

The primary groups affected by LB 610 would be:

  • Ground emergency medical transport (GEMT) providers, who would receive higher reimbursement rates for serving Medicaid patients
  • Medicaid patients who require emergency medical transport, who would have improved access to GEMT services as a result of the higher reimbursement rates

Procedural and Timeline Aspects

  • LB 610 was originally introduced in the Nebraska Legislature on January 22, 2025.
  • In March 2025, provisions from LB 610 were amended into a separate bill, LB 380, through AM814.
  • If passed, the supplemental reimbursement program would need to be approved by the federal Centers for Medicare and Medicaid Services (CMS) before it could be implemented.
  • The bill does not specify a timeline for when the supplemental reimbursement program would be implemented, but it would likely take several months to a year to obtain CMS approval and set up the necessary administrative processes.

Compiled from official sources — confirm details with the bill’s official record.

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