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LR 209

Interim study to examine the funding sources of skilled nursing facilities throughout Nebraska

109th Legislature (2025-2026) Introduced by Brian Hardin

Nebraska LR 209 tasks a Health and Human Services interim study to map and assess how skilled nursing facilities are funded, including Medicaid payments and other funding sources.

Referred to Health and Human Services Committee
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Bill Summary · LR 209

Summary of Nebraska LR 209 (2025)

Overview

  • Bill type: Legislative Resolution (LR)
  • Number: LR 209
  • Title: Interim study to examine the funding sources of skilled nursing facilities throughout Nebraska
  • Purpose: To authorize an interim study by the Legislature to investigate how skilled nursing facilities (SNFs) are funded in Nebraska, including Medicaid reimbursement, other funding sources, and related statutes and processes.
  • Sponsor: Hardin (primary)
  • Introduced: May 15, 2025 (One Hundred Ninth Legislature, First Session)
  • Current status: Referred to Governor/Executive Board on introduction date; subsequently referred to the Health and Human Services Committee on May 19, 2025.

What the bill does

  • Designates the Health and Human Services Committee to conduct an interim study focused on funding sources for SNFs across Nebraska.
  • Requires the committee to produce a report detailing findings and recommendations to the Legislative Council or Legislature after completing the study.

Key provisions and topics to be examined

The interim study must, at a minimum, address:
1. Medicaid reimbursement for skilled nursing facilities — size, sufficiency, and structure of payments.
2. Other organizations involved in SNF care — roles and contributions of any additional stakeholders or entities financing SNF care.
3. Impact of current laws — focus on the Nebraska Health Care Certificate of Need Act and any related statutes that affect SNF funding or operations.
4. Funding breakdown — distribution of funding for patient services and the costs borne by other organizations involved with SNF care.

Note: The resolution states the study “shall include, but need not be limited to” these topics, allowing the committee to examine additional related funding and regulatory considerations as it conducts its work.

Who is affected

  • Skilled nursing facilities in Nebraska (SNFs) and their financial operations.
  • Nebraska Medicaid program and its reimbursement framework for SNFs.
  • Other stakeholders involved in SNF care financing (e.g., related organizations, service providers, and regulatory bodies).
  • The broader population of SNF residents and patients who rely on funding for care services.

Process and timeline

  • The resolution designates the Health and Human Services Committee to carry out the interim study.
  • The committee is required to prepare and submit a report of findings and recommendations to the Legislative Council or Legislature at the conclusion of the study.
  • This is an interim, informational study rather than immediate policy enactment; any recommended actions would be pursued in subsequent legislative sessions.

Legislative actions to date

  • May 15, 2025: Introduced and referred to Executive Board.
  • May 19, 2025: Referred to Health and Human Services Committee.

Practical implications

The study aims to clarify how SNFs are funded in Nebraska and to identify potential gaps or inefficiencies in Medicaid reimbursement, private pay, and other funding streams. The eventual findings could inform future legislative or regulatory proposals to improve funding adequacy and stability for SNFs and, by extension, the quality and accessibility of skilled nursing care in the state.

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

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