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LB 832

Extend the prohibition of the addition of long-term care services and supports to the medicaid managed care program

109th Legislature (2025-2026) Introduced by Ben Hansen

LB 832 extends Nebraska's ban on adding long-term care services to Medicaid managed care, keeping these services in traditional fee-for-service delivery.

Hansen AM1724 filed
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Bill Summary · LB 832

Legislative bill overview

LB 832 extends Nebraska's existing prohibition against adding long-term care services and supports to the state's Medicaid managed care program. The bill maintains the current policy that keeps long-term care (such as nursing home and assisted living services) outside of managed care arrangements, instead continuing to deliver these services through traditional fee-for-service Medicaid.

Why is this important

Long-term care represents a significant portion of Medicaid spending and involves vulnerable populations with complex medical needs. The structure of how these services are delivered—managed care versus fee-for-service—affects care quality, provider networks, costs, and access for elderly and disabled Nebraskans who depend on nursing homes and home-based services.

Potential points of contention

  • Cost implications: Managed care organizations argue they could deliver services more efficiently and reduce costs, while opponents contend fee-for-service better serves complex long-term care populations
  • Care quality and access: Dispute over whether managed care networks would adequately serve rural areas and maintain specialized long-term care providers versus concerns about fragmentation in fee-for-service
  • Implementation timeline: The bill extends an existing prohibition, raising questions about whether this reflects evidence-based policy or prevents beneficial program modernization

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

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