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LB 750

State legislative intent relating to reimbursement for PACE program services under the Health Care Facility Licensure Act

109th Legislature (2025-2026) Introduced by Ashlei Spivey

Nebraska legislation directing state reimbursement policy for PACE elderly care programs to keep seniors in communities rather than institutions.

Notice of hearing for February 10, 2026
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Bill Summary · LB 750

Legislative bill overview

LB 750 expresses Nebraska's legislative intent to establish or modify reimbursement mechanisms for Program of All-Inclusive Care for the Elderly (PACE) services under the state's Health Care Facility Licensure Act. PACE is a Medicare/Medicaid program providing comprehensive care coordination for frail elderly individuals, allowing them to remain in their communities rather than entering institutional settings. The bill signals the legislature's direction on how the state should approach funding these services.

Why is this important

PACE programs serve a vulnerable population—elderly individuals with significant health needs—and reimbursement policies directly affect program viability and access. How Nebraska structures reimbursement determines whether providers can sustain operations, which ultimately affects whether seniors have access to community-based care alternatives. This also has fiscal implications for state Medicaid budgets, as PACE is jointly funded by Medicare and Medicaid.

Potential points of contention

  • Reimbursement rate adequacy: Providers may argue rates are insufficient to cover costs, while fiscal hawks may claim rates are too generous for state budgets
  • Scope of covered services: Disagreement may exist over which services should be reimbursable under PACE (medical, social, transportation, etc.)
  • Administrative burden: Questions about whether licensure requirements create unnecessary regulatory overhead that drives up costs without improving care quality

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

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