2020 Bill Watch List1

106th Legislative Session

Children's Bill Watch List S-support with testimony; O-oppose with testimony; M- monitor; N-neutral testimony; approved by Governor; vetoed by Governor; Priority for CHMC Bill No. Position Subject Matter Introducer Committee Hearing Date Status

Regarding school attendance, administrators shall develop a collaborative plan to reduce barriers related For an Act relating to to regular attendance for mental health as well as LB751 S schools Sen. Judiciary 1/30/2020 current statute for physical health.

Adopt the Audiology and Speech-Language Pathology Designed to achieve an increase in access to services, LB753 M Interstate Compact Sen. Carol Blood HHS 1/22/2020 regional care, and telehealth capabilities.

To require consultation with A requirement for the court to transfer information school districts regarding Sen. Mark regarding juvenile's entering back into school to LB759 M placement of children Kolterman HHS prepare for a smooth transition.

Asynchronous review is the acquisition and storage of medical information at one sight that is then forwarded Require health care workers to or received by a health care provider at another site to provide coverage for for evaluation. This bill proposes to require insurance asynchronous review by a companies to offer reimbursement. Specific to dermatologist by way of Sen. Mark Banking, Commerce and dermatology only, will follow up with the senator on all LB760 S telehealth Kolterman Insurance specialties.

Prohibit sexual assault of a Aimed at coaches and teachers who claim consent was minor by an authority figure, received. In many cases, jail time does not occur change provisions related to Sen. Brett following charges. This bill aims to ensure jail LB766 M sexual offenses Lindstrom Judiciary sentencing occurs for people in a position of trust. 2020 Bill Watch List2

Adds “collaborative agreement” language. Amends definition of supervision to mean the ready availability of the supervising physician for consultation and collaboration of the PA. Provides that a PA may render services in a setting that is geographically remote from the supervising physician. Beginning Dec. 1, 2020, requires that one of the six professional members of the Board of Medicine and Surgery shall be a physician with experience in practice with PAs. Authorizes a PA to perform medical services that form a component of the scope of practice of a physician working in the same physician group as the PA if delegated and provided under the supervision and collaboration with such physician, are medical services for which the PA has been prepared by education, experience, and training and that the PA is competent to perform. Strikes language that a PA shall be considered an agent of his supervising physician. Clarifies PA authority to pronounce death and complete death certificates. Change the scope of practice Strikes restrictions regarding PA practice in hospitals LB772 M for physician assistants Sen. Matt Williams HHS 1/24/2020 and requirements for physician-PA agreements.

Provides that a PA may prescribe drugs and devices, removing language “as delegated to do so by a supervising physician” and provides authority to distribute drug samples and plan and initiate State intent regarding therapeutic regiments that include nonpharmacological appropriations for the Rural interventions. Changes the PA committee so that the Health Systems and member from the Board of Medicine and Surgery LB778 M Professional Incentive Act Sen. Appropriations would be a nonvoting member.

$3,425,000 from the General Fund to DHHS to support child advocacy centers, including direct services to child To state intent regarding victims and caregivers and facilitation of child abuse LB779 M appropriations to DHHS Sen. John Stinner Appropriations teams. It is the intent to continue funding perpetually. The proposal would change existing statute and allow the definition of an ambulatory surgical center to include a facility where the discharged patient did not Change the definition of receive anesthesia or was discharged within 24 hours LB783 M ambulatory surgical center Sen. John Lowe HHS after anesthesia 2020 Bill Watch List3

A school bus driver who observes a violation may prepare a written report and provide it to their employer (license plate, time, date to). Within 72 hours Change school bus stop the employer shall deliver the report to a peace officer signal arm violation Transportation and of the city or county. Within 7 days, the peace officer LB789 M provisions Sen. Telecommunications 1/28/2020 shall contact the owner of the motor vehicle

All individual or group insurance plans that provide Provide for insurance coverage for a specified disease or other limited- coverage of epinephrine Banking, Commerce and benefit coverage shall provide coverage for epipens for LB804 S autoinjenctors Sen. Justin Wayne Insurance persons 18 and younger (Jan.1, 2021)

Candy is defined to exclude flour, which became a concern in previous attempts. There is also the ability to place a 60-day moratorium on the tax when a Impose sales tax on bottled Sen. John natural disaster (i.e. flood) occurs. The increase in sales LB810 M water, candy, and soft drinks McCollister Revenue 1/30/2020 tax revenue will go towards the Health Care Cash Fund. Dismemberment abortion means an abortion in which, with the cause of death of an unborn child is by Prohibit dismemberment extraction one piece at a time unless necessary for LB814 M abortion Sen. Judiciary medical emergency.

Prohibit certain section 1115 waivers under the Medical Sen. Adam The purpose of this legislation is to require LB815 M Assistance Act Morfeld HHS Medicaid to expand Medicaid without the 1115 waiver A proposal to grant prescriptive authority to psychologists to order, prescribe, discontinue, Adopt the Prescribing administer, and provide samples of psychotropic LB817 M Psychologist Practice Act Sen. John Stinner HHS 1/24/2020 medication. Opiates cannot be prescribed by a Children's requested this bill be introduced to include Change provisions relating Sen. Robert Spinal Muscular Atrophy (SMA) to the newborn LB825 S to infant health screenings Hilkemann HHS 1/22/2020 screening list $3,730,149 from the General Fund to DHHS for Appropriate funds to DHHS Sen. Robert Program 424- an increase in rates paid to providers of LB827 M for Program 424 (DD) Hilkemann Appropriations developmental disability services 2020 Bill Watch List4

The bill would allow optometrists to perform minor surgical procedures required for the treatment of cysts or infected/inflamed glands of the eyelid and administer injections of pharmaceutical agents into the eyelid related to such treatment. This legislation would Change provisions relating also require additional education and clinical training to scope of practice of a Sen. Robert pertaining to the requested new authority for LB828 M licensed optometrist Hilkemann HHS 1/23/2020 optometrists licensed in Nebraska.

A person is immune from civil and criminal liability for Provide immunity for property damage if the person forced entry into a removal of a child from a Sen. Bruce vehicle to remove and rescue a child who appeared to LB832 S motor vehicle Bostelman Judiciary 1/31/2020 be in imminent danger or suffering (hot car). All contracts and agreements relating to the medical assistance program governing at-risk managed are service delivery for health services shall "provide for the return to the department any remittance if the Change provisions governing contractor does not meet the minimum loss ratio and certain contracts and unearned incentive funds. The funds shall be remitted agreements relating to the to the State Treasurer for credit to the Health Care LB836 M medical assistance program Sen. John Arch HHS 1/22/2020 Cash Fund."

The department shall seek to maximize federal funding Change provisions relating to develop and implement a program to assist child to background checks under care providers and child care staff members with the the Child Care Licensing Act cost of fingerprinting and national criminal history and Children's Residential record information check. If no federal funds are Facilities and Placing received, then the child care staff member being LB837 M Licensure Act Sen. John Arch HHS screened shall pay the actual cost. 2020 Bill Watch List5

Adds one provision to current statute that reads, the following classes of persons shall not be construed to be engaged in the unauthorized practice of medicine: 'Persons who are not licensed, certified, or registered under the Uniform Credentialing Act, to whom are assigned tasks by a physician or osteopathic physician licensed under the Medicine and Surgery Practice Act, Provide an exemption from if such assignment of tasks is in a manner consistent licensure under the with accepted medical standards and appropriate to Medicine and Surgery the skill and training, on the job or otherwise, of the LB838 M Practice Act Sen. John Arch HHS persons to whom the tasks are assigned; The State Board of Education may provide for the Recognize American Sign teaching of American sign language in schools. If a Language and provide for school offers a course, it shall be offered to all students the teaching of American regardless if the student is hearing, hard of hearing or LB839 M Sign Language in schools Sen. Education deaf. Prohibit the use of electronic smoking devices as prescribed under the Nebraska Clean Indoor Air Adds the use of an electronic smoking device, to the LB840 S Act Sen. HHS Nebraska Indoor Air Act. Change eligibility requirements under the Young Adult Bridge to Sen. Pansing Changes the legal age from 19 to 18 years of age in LB849 M Independence Act Brooks HHS 1/31/2020 Nebraska

Change provisions relating Suggests that continuous eligibility be maintained to eligibility for services under Medicaid for a child under the age of 19 without under the Medical Sen. John additional review by the department and regardless of LB851 M Assistance Act McCollister HHS 1/29/2020 changes in resources or income. Prohibit possession by minors of tobacco and A person under the age of 19 shall not possess tobacco LB862 M nicotine products Sen. Dan Hughes General Affairs 2/3/2020 or electronic delivery system device Adopt the Bed Bug Detection and Treatment Once a tenant reports suspected bed bugs to their Act for cities of the landlord, the landlord has 96 hours to hire a qualified LB864 M metropolitan class Sen. Justin Wayne Urban Affairs 2/11/2020 inspector and effectively treat the presence if found. 2020 Bill Watch List6

The intention of this bill is to increase workforce development by allowing access to affordable and quality childcare. Strenuous process to map out and qualify a city to adopt an ordinance to establish an Adopt the Local Option economic development program. The amount will then Municipal Childcare be fixed in the biennium budget. No greater than $5 LB867 M Financing Act Sen. Urban Affairs 2/25/2020 million.

A Parenting Act mediator, "including an attorney serving as a parenting plan mediator," prior to meeting Change provisions relating with the parties in an initial session, shall provide an to mediators under the individual screening session with each party to assess LB868 M Parenting Act Sen. Judiciary 1/24/2020 the presence of child abuse or neglect, etc.

Restate intent regarding Intent that any additional funding of the NHCCF after funding programs from the June 1, 2020 only be funded from investment income Nebraska Health Care Cash derived from the principal of the Nebraska Tobacco LB874 M Fund Sen. Appropriations Settlement Trust Fund from previous fiscal year

Redefine immediate family and change conflict of interest provisions under the Immediate family shall mean a child "of an individual" Nebraska Political and deletes existing statute that says "residing in an Accountability and Government, Military and individual's household" for federal income tax LB878 M Disclosure Act Sen. Lynn Walz VA purposes

In response to the Millard Family Hospital that has Prohibit certain acts by declined coverage with CMS and is not in-network with health insurers and network any other provider, although advertising says different. providers and list a Banking, Commerce and Voids any contract between a facility and person that LB886 M deceptive trade practice Sen. John Arch Insurance 2/4/2020 advertises as an in-network provider.

A pharmacist who is acting in good faith and exercising reasonable care and has obtained patient consent may- 1. change the quantity of a drug prescribed if: a. quantity is not commercially available or b. change in Authorize pharmacists to quantity is related to dosage form. 2. change dosage if adapt prescriptions to aid it is in the best interest of the patient and directions LB887 O consumers Sen. John Arch HHS 1/30/2020 are modified. 3. extend a one-time refill 2020 Bill Watch List7

Defines “emergency care provider” to include emergency medical responders, emergency medical technicians, advanced emergency medical technicians, community paramedics, critical care paramedics, and other paramedics licensed and classified under the EMSPractice Act. Strikes references to “out-of-hospital” Change provisions relating emergency care providers. Defines “community to emergency care providers paramedicine practice of emergency medical care” and and provide for community “critical care paramedic practice of emergency medical paramedicine and critical Sen. Bruce care.” Requires the EMS Board to establish criteria for LB893 M care paramedics Bostelman HHS community paramedicine and critical care paramedics.

Appropriate funds for the Appropriates $200,000 from the General Fund for FY Nebraska Perinatal Quality Sen. Machaela 20-21 to DHHS to contract with UNMC for the Nebraska LB901 M Improvement Collaborative Cavanaugh Appropriations Perinatal Quality Improvement Collaborative.

Provide requirements and restrictions on maintenance, Supported by Project Harmony, Seeks to secure release, and use of video forensic interviews of children in child advocacy recordings of forensic Sen. Wendy centers. Upon request, shall release to law LB906 M interviews of children DeBoer Judiciary 1/23/2020 enforcement to investigate.

Adds "regardless of their marital status." Also adds: Any minor child who has a sole legal parent may be adopted by a second adult if- the sole legal parent consents and the child has a parent-child relationship Change provisions relating Sen. Wendy with the second person and an adoptive home study is LB907 M to adoptions DeBoer Judiciary completed. 2020 Bill Watch List8

Appropriates $2 million in each of the next 5 years for a statewide diabetes pilot study (done at a Nebraska postsecondary institution with a medical school) that identifies ways to reduce the financial costs of diabetes to the Medicaid program. The program will test the hypothesis that the integration of technology into the case management protocol of a Medicaid patient with diabetes, including use of remotely monitored glucose sensors, interdisciplinary coaching, and telehealth communication, will lead to improved health outcomes and decreased health care costs; and use technology- based platforms for the delivery of effective diabetes Provide for a diabetes pilot self-management education, support, and treatment LB917 M study Sen. Justin Wayne HHS for up to 1,000 diabetic Medicaid patients.

Require electronic issuance of prescriptions for controlled substances as Sen. Mark All opioids would be required to be prescribed LB922 M prescribed Kolterman HHS 1/30/2020 electronically.

Requires DHHS to, on or before Oct. 1, 2020, expand Require expansion of the eligibility for and to provide Medicaid to adults medical assistance program between the ages of 19 and 64 whose income level is LB932 M as prescribed Sen. Anna Wishart HHS 1/29/2020 less than or equal to 138% of the federal poverty level.

Any child in foster care, child-care institution or a juvenile facility through a court proceeding shall receive the same quality of care as an in family child would receive. State of NE shall aspire to treat all children with dignity and respect, honest and clear Create the Nebraska Youth communication and to help them understand the LB941 M in Care Bill of Rights Sen. Meghan Hunt Judiciary 1/30/2020 system in which they are involved. 2020 Bill Watch List9

Makes sales tax applicable to all services (services shall be presumed taxable unless a specific sales tax exemption applies). Service includes all activities that are engaged in for other persons for a consideration and that involve predominantly the performance of a service as distinguished from selling or leasing tangible personal property. The term does not include services rendered by an employee to his or her employer. Provides that beginning Oct. 1, 2021, the sales tax rate be lowered from 5.5% to 4% and that it then be adjusted to provide approximately the same amount of Change the sales tax rate sales tax revenue as would have been generated had and impose sales tax on the changes to the sales tax base made by this bill not LB946 O additional services Sen. Revenue gone into effect. All payors shall limit the out-of-pocket expense for Limit the amount an insured insured individuals to $100 per 30 day supply for individual pays for Banking, Commerce and insulin, regardless of the amount or type of insulin LB949 S prescription insulin drugs Sen. Insurance needed.

Notice of a decision to discontinue eligibility or to modify medical assistance shall include an explanation Change provisions relating of the proposed action, the reason for the action, to eligibility for medical information used to make the decision or laws LB955 M assistance Sen. Lynn Walz HHS 1/29/2020 requiring such action.

If an MCO makes any material change to a provider agreement, the MCO shall provide the provider with at least 90 days notice of the change. The notice shall Provide duties for managed include: 1. the effective date 2. description of the care organizations under the change 3. Notice of the opportunity to communicate LB956 M Medical Assistance Act Sen. Lynn Walz HHS 1/29/2020 concerns with proposed changes Biological mother means a person who is related to a child as the source of the egg that resulted in the conception of the child. Birth mother means the person who gave birth to the child. During the period immediate before or after the in-hospital birth of a child whose biological mother is not the same as the birth mother, the person in charge of such hospital or designated representative shall provide to the child's Provide for an biological mother and birth mother the documents and acknowledgment of Sen. Mike instructions to complete a notarized acknowledgement LB964 M maternity McDonnell Judiciary 1/30/2020 of maternity. 2020 Bill Watch List10

The Commission for the Deaf and Hard of Hearing shall establish and coordinate a language assessment program for children who are deaf or hard of hearing. The program shall assess, monitor, and track the language developmental milestones for children birth to 5 years old. Language assessments shall be given as Establish a language needed to each child who is less than 6. Those are assessment program for administered by a network that provides services for children who are deaf or Sen. Mike children with special needs through the school district LB965 M hard of hearing McDonnell Education 1/28/2020 in which the child is enrolled.

On and after Aug. 1, 2020, school districts shall create a policy that creates a clear statement that school district prohibits harassment, intimidation, bullying, Change provisions regarding cyberbullying in school and at any school sponsored bullying prevention and Sen. Wendy activity. Must also develop a procedure to review and LB967 M education DeBoer Education respond to bullying reports.

Changes videotape to video or videorecording. Adds: Upon obtaining the video recording or a copy of the video recording, the defendant, the defendant's Change provisions relating attorney or an agency may transcribe or replicate the to video depositions of child video recording for purposes of review or inspection by LB969 M victims and child witnesses Sen. Justin Wayne Judiciary 1/23/2020 the defendant.

Limit the amount an insured individual pays for Banking, Commerce and Also limits insulin to $100, regardless of supply, per 30 LB970 S prescription insulin drugs Sen. Justin Wayne Insurance days Reduces the reliance of school aid formula on property Change taxation and school Revenue taxes by 13-15% with the inclusion of state aid to LB974 M funding provisions Committee Revenue 1/22/2020 schools mostly in rural areas Change provisions relating Strikes from existing statute the need to obtain the to reports of child abuse or name and phone number of a person making a child LB975 M neglect Sen. Suzanne Geist Judiciary 1/31/2020 abuse report

Redefine handicapped or disabled person for purposes of handicapped or LB976 M disabled parking permits Sen. Kate Bolz Urban Affairs 2/25/2020 Adds neurological impairment 2020 Bill Watch List11

A business entity formed for the purpose of rendering professional service, the performance of which is subject to credentialing under the Uniform Credentialing Act, may have owners who are persons not credentialed in a professional service regulated under the Uniform Credentialing Act or persons who are credentialed in a professional service regulated under the Uniform Credentialing Act other than the Provide restrictions on professional service for which the business entity was business entity ownership formed. Such owners shall not, in the aggregate, with respect to certain Banking, Commerce and directly or beneficially, comprise a majority of the LB988 M professional services Sen. Insurance owners of such business entity

It is the intent of the Legislature to encourage local and regional broadband planning, and to encourage public- private partnerships to enhance broadband services in unserved and underserved areas of the state. Creates the position of state broadband coordinator to be located in the office of the Chief Information Officer. The coordinator shall: (a) Encourage each county or region to appoint a broadband coordinator to facilitate broadband planning and coordination; (b) Encourage Adopt the Broadband each county or region to work with groups of Internet Service stakeholders, (c) Assist in determining what broadband Infrastructure Act and assets are available, the areas for improvement, and provide for certain strategies to improve broadband availability and use; broadband and Internet- Transportation and and (d) Explore the creation of broadband cooperatives LB992 M related services Sen. Telecommunications 2/3/2020 in unserved or underserved areas of the state. 2020 Bill Watch List12

A covered entity (a licensed provider of health care services, including a hospital) shall not, solely on the basis of a qualified individual's mental or physical disability: (a) Deem the individual ineligible to receive an organ transplant; (b) Deny services related to organ transplantation; (c) Refuse to refer the individual to a transplant center or other related specialist for the purpose of evaluation or receipt of an organ transplant; (d) Refuse to place the individual on an organ transplant waiting list; (e) Place an individual at a lower- priority position on an organ transplant waiting list than the position at which the individual would have been placed if not for the individual's disability; or (f) Decline insurance coverage for any procedure associated with the receipt of an organ transplant, including post-transplantation care. Written notice Adopt the Organ Transplant Sen. Dave upon denial is due within two days. LB994 O Fairness Act Murman Judiciary 1/30/2020

Creates the program to ensure accurate representation Create the Broadband Data Transportation and in federal broadband grant programs. Must prioritize LB996 M Improvement Program Sen. Tom Brandt Telecommunications 2/3/2020 data improvement in rural areas. 2020 Bill Watch List13

If a covered person receives emergency services at any health care facility, the facility shall not bill the covered person in excess of any deductible, copayment, or coinsurance amount applicable to in-network services pursuant to the covered person's health benefits plan. If a covered person receives emergency services at an in-network or out-of-network health care facility, the health care provider shall not bill the covered person in excess of any deductible, copayment, or coinsurance amount applicable to in-network services pursuant to the covered person's health benefits plan—the carrier shall ensure that the covered person incurs no greater out-of-pocket costs than the covered person would have incurred with an in-network health care provider for covered services. If emergency services provided at an in-network or out of network health care facility are performed, the out-of-network health care provider may bill the carrier for the services rendered. The carrier may pay the billed amount or notify the health care provider within 20 days after the date of the receipt of the claim that the carrier considers the claim excessive. (A claim shall be presumed reasonable if it is based on the higher of the carrier's contracted rate or 125% of the payment rate received from CMS for the same or similar services in the same geographic area.) If the carrier provides this notice, the carrier and the health care provider shall have 30 days to negotiate a settlement or engage in mediation. The carrier and the health care provider shall reach agreement through the Adopt the Out-of-Network Sen. Adam Banking, Commerce and mediation process. The cost of mediation shall be split LB997 M Emergency Medical Care Act Morfeld Insurance evenly by the carrier and the health care provider.

Creates the Behavioral Training Cash Fund administered by the Dept. of Education with money appropriated by Legislature. To be used for mandatory behavioral awareness and intervention training to: 1. Require behavioral recognize detrimental factors impacting student awareness and behavior 2. signs of trauma 3. proactive teaching interventional training and strategies 4. de-escalation techniques 5. clear points of contact, transfer guidelines on removing students from class. Designate funds and change the one or more people in each school as point of contact LB998 S TEEOSA Sen. Dave Murman Education 1/27/2020 and to train them in community service providers. 2020 Bill Watch List14

Beginning in the 2021-22 school year, each school Require student prevention board shall require the phone number for a national phone numbers on student suicide prevention hotline or crisis line on each student LB1001 M ID cards Sen. Education ID card to students in middle school and high school

The sale, purchase, or trade of or an offer to sell, Change provisions relating purchase or trade a prescription drug for emergency to wholesale drug medical reasons or "an emergency medical service to distribution for emergency Sen. Bruce use for the provision of emergency medical care, not to LB1002 M medical reasons Bostelman HHS exceed 5% of sales."

Provide, change and eliminate provisions relating LB1008 M to appropriations Speaker Scheer Appropriations Placeholder budget Bill at the request of the Governor Provide for transfers of funds, repeal a fund, change LB1009 M use of a fund Speaker Scheer Appropriations Placeholder budget Bill at the request of the Governor Change Cash Reserve Fund LB1010 M provisions Speaker Scheer Appropriations Placeholder budget Bill at the request of the Governor In response to the Millard Family Hospital, "each hospital other than a rehab hospital, psych or mental hospital, CAH or LTC hospital shall enter into an Require certain hospitals to agreement with the US Secretary of HHS to accept accept reimbursement from reimbursement for services from the Medicare LB1011 M the Medicare program Sen. John Arch HHS program."

Change provisions relating Any organization seeking tax exemption shall make the to tax exemptions for application for exemption on or before Dec. 31 of the property acquired by certain Sen. Andrew year the property was acquired. The county shall LB1012 M tax-exempt entities LaGrone Revenue complete as soon as practicable after receipt.

An employer shall not retaliate or discriminate against an employee because the employee- 1. files a suite or complaint under the Nebraska Wage Payment and Collection Act or 2. Testifies, assists or participates in Change the Nebraska Wage an investigation or action concerning a violation of the LB1016 M Payment and Collection Act Sen. Matt Hansen Business & Labor act $6.5 million from General Fund to local public health LB1018 M Appropriate funds to DHHS Sen. Appropriations departments $3 million from General Fund for the seven federally LB1019 M Appropriate funds to DHHS Sen. Tony Vargas Appropriations qualified community health centers 2020 Bill Watch List15

On or after Sept. 21 of each school fiscal year, a school Adopt the Extraordinary district may apply to the Dept. of Education for a Increase in Special Education Sen. Wendy payment from the newly developed fund to cover any LB1023 M Cost Act DeBoer Education extraordinary increase in special education.

Allow persons 18 years of age to make health care decisions and persons under Eighteen years of age or older may make health care 19 years of age in decisions for himself without the consent of a parent or correctional facilities to guardian. Under nineteen of age and who is committed consent to medical and Sen. Adam to the Dept. of Corrections may consent to medical and LB1036 M mental health care Morfeld Judiciary 1/31/2020 mental health services.

Change provisions relating If a person in the household violates work to household eligibility for requirements, only that person and not the whole LB1037 M SNAP benefits Sen. Meghan Hunt HHS household would lose SNAP benefits.

A person convicted of a felony involving controlled substances may only be eligible for SNAP if the person- Change provisions relating 1. completed sentence 2. serving a term of parole, LB1038 M to eligibility of SNAP Sen. Meghan Hunt HHS probation or post-release supervision Intent to provide each eligible student in a public school with meals at no cost. Eligible means a meal Adopt the Hunger-Free Sen. Machaela served to a student which is reimbursable by the LB1039 M Schools Act Cavanaugh Education federal government. Provide for a state food $150,000 from General Fund to Dept. of Ag to insecurity nutrition incentive administer a state food insecurity nutrition incentive LB1040 M grant program Sen. Tony Vargas Agriculture 2/11/2020 grant program.

A licensed medical nutrition therapist may order Change provisions relating patient diets, including therapeutic diets, in accordance to the practice of medical with the provisions of this subsection, which allows a LB1044 M nutrition therapy Sen. Ben Hansen HHS LMNT to practice under the consultation of a physician.

Create the offense of sexual assault by a school In situations of alleged out-of home child abuse or employee and provide neglect, if the subject of the report of the child abuse is notification to the a school employee, DHHS shall immediately notify the LB1048 M Commissioner of Education Sen. Dan Quick Commissioner of Education. 2020 Bill Watch List16

Provide for participation in federal Child Care Subsidy Intent to utilize TANF carryover funding to offset child care assistance as expenses and increase the eligibility from 130% FPL to LB1049 M prescribed Sen. Kate Bolz HHS 150% FPL. Establishes an Intergenerational Care Facility Incentive Create the Intergenerational Cash Fund to award grants of up to $50,000 to nursing Care Facility Incentive Cash facilities for one-time startup costs to provide child LB1051 M Fund Sen. Anna Wishart HHS care in such facilities.

Establishes that Medicaid coverage shall not be denied Change provisions relating for a patient’s prescription of an antidepressant, to the preferred drug list antipsychotic, or anticonvulsant if such drug is deemed under the Medical medically necessary by the patient’s health care LB1052 M Assistance Act Sen. Anna Wishart HHS 1/30/2020 provider. The department shall adopt and promulgate rules and regulations regarding the rate methodology for reimbursement of hospital and nursing facility services. Require rules and Any change to the rate methodology is considered regulations for hospital and substantive and requires new rulemaking or nursing facility medicaid regulationmaking under the Administrative Procedure LB1053 S reimbursement rates HHS Committee HHS Act Purpose is to designate an entity to provide the data infrastructure needed to assist in creating a healthier NE and operating the electronic health records intitiatve. The exchange shall: 1) aggregate clinical information from health care entities needed to support the operation of the medcial assistance program 2)anaylze health data 3)collect and analyze data for the legislature, dhhs, and health care providers Adopt the Population Health 4) act as the primary collector and reporter of public LB1058 S Information Act Sen. Sara Howard HHS health data Change provisions relating to health care facility Only one member (currently two) is required to sign LB1059 M licensure Sen. Sara Howard HHS the facility licensure application 2020 Bill Watch List17

Defines a child advocacy center as an appropriate site for forensic interviews and referring victims of child abuse or neglect. Adds defintion for kin giver and relative caregiver. Upon receipt of a report, the department shall determine whether to- a)accept the Change provisions relating report for traditional response b)accept the report for to alternative response to alternative response c)accept the report for screening reports of child abuse or by Review, Evaluate, and Decide team d) classify report LB1061 S neglect Sen. Sue Crawford HHS 1/31/2020 as no action needed Change provisions relating to the sale and use of LB1064 S tobacco products Sen. Tom Briese General Affairs 2/4/2020 Change state legal age to 21 (currently 19) Removes existing statute that says a pharmacists can have up to three interns at any time. Adds "pharmacy Change provisions regarding Sen. Steve technician" to existing statute with pharmacist and LB1065 M pharmacies and pharmacists Halloran HHS pharmacy techs. Any funds in excess of a state contractor must be returned within 60 days after the end of the state fiscal Change and transfer year to the Medicaid Managed Care Excess Profit Fund. contract provisions under The new fund should be used to provide care and gaps the Medical Assistance Act in services to children and adults with feedback from LB1092 S and create a fund Sen. John Stinner Appropriations stakeholders.

State intent regarding appropriations for mental health and behavioral health LB1110 M services Sen. Kate Bolz Appropriations A 15% rate increase for behavioral health providers

Provide an appropriation for $250,000 from General Fund to DHHS to reimburse volunteer emergency tuition and fees for intial and ongoing training of LB1102 M medical care providers Sen. Lynn Walz Appropriations volunteer emergency medical care providers Redefine a term under the Professional health care service entity means an entity Health Care Quality which is organized under the Nebraska Nonprofit LB1104 M Improvement Act Sen. John Arch HHS Corporation Act Intent of the Legislature is to establish and maintain guidelines for the medical assistance p rogram that Change audit provisions meet minimum federal requirements that encourages under the Medical efficient and effective provisions of services by NE LB1105 M Assistance Act Sen. Ben Hansen HHS providers 2020 Bill Watch List18

Purpose of the act is to provide for use of dedicated revenue for opioid-related treatment and prevention. The fund shall include recoveries received on behalf of Adopt the Opioid Prevention the state by the Dept. of Justice related to the LB1124 M and Treatment Act Sen. Sara Howard HHS advertisting of opioids.

Shall provide- safe and sanitary space, education, Provide requirements for health and medical services, appropriate physical youth rehabilitation and seperation based on gender, training to the population, LB1140 M treatment centers HHS Committee HHS facility administrator, evaluation process, etc.

Require the DHHS to DHHS shall develop a five year plan for YRTC Geneva develop operations plans for and Kearney by Nov. 15, 2020. Input required from key youth rehab and treatment stakeholders. Organizational chart of supervisors and LB1141 M centers HHS Committee HHS staff. Description of each population at centers. Emergency does not include inadequate staffing. Provide for emergency plans Emergency situations include fire, flood, tornado, LB1142 M at the YRTC HHS Committee HHS natural disaster, or damage to the facility. DHHS shall contract for the completion of a needs Provide duties for the DHHS assessment and cost analysis for the establishment of with respect to inpatient an inpatient adolescent psych unit housed within the LB1143 M adolescent psych unit HHS Committee HHS Lincoln Regional Center.

Change provisions affecting The Office of Juvenile Services shall report to the IG of the Public Counsel and NE Child Welfare after any of the following occur at a Inspector General of YRTC- assault, escape, attempted suicide, self harm, LB1144 M Nebraska Child Welfare HHS Committee HHS property damage, use of restraints, medical event. Provide for a statewide school panic buttom LB1156 M program Sen. Tony Vargas Education

Provide information on job- skills programs to applicants LB1158 M for medical assistance Sen. John Arch HHS

Provide for bias training , coverage under the doula Sen. Machaela LB1170 M and postpartum program Cavanaugh HHS Change provisions under Healthy Pregnancies for Sen. Machaela LB1171 M Incacerated Women Act Cavanaugh Judiciary 2020 Bill Watch List19

Change provisions relating to sale of tobacco products LB1176 M and e-cigs Sen. Tom Briese General Affairs 2/3/2020

Provide for notice of a new drug or biologics license and LB1182 M a study of drug costs Sen. Justin Wayne HHS Create the Health Information Technology Board and change PDMP LB1183 M provisions Sen. John Arch HHS

Require standards for psychiatric services under LB1184 M Medical Assistance act Sen. John Arch HHS

Adopt the Pharmacy Benefit Sen. Adam Banking, Commerce and LB1196 M Manager Regulation act Morfeld Insurance

$17 million each year of the biennium for those waiting LB1215 M Appropriate funds to DHHS Sen. Ben Hansen Appropriations on the developmental disability waiver waiting list

Change controlled substances scheduled for certain legally approved LB1221 M drugs containing cannabis Sen. Justin Wayne Judiciary

Constitutional amendment to prohibit all forms of taxation other than a Eliminates sales tax and applies a consumption tax on LR300CA M consumption tax Sen. Revenue all goods and services effective Jan. 1, 2020

Constitutional amendment to authorize an increase in the number of members of Proposes to increase seats from 49 to 55 in the LR279CA M the Legislature Speaker Scheer Executive Board 1/22/2020 2020 Bill Watch List20

Constitutional amendment to change legislative term State senators are currently restricted to two, four year limits to three consecutive terms consecutively. They must sit a full term (4 years) LR280CA M terms Sen. Justin Wayne Executive Board out before running again ACTIVE CARRYOVER LEGISLATION

To provide for the use of Permits teachers or other staff to physically restrain physical contact or physical students when posing a threat to themselves or others. restraint under the Student Groene- Education M. Hansen Defines physical restraint as holding hands, arms or 147 M Discipline Act Priority Bill Education 2/11/2019 filed AM2069 torso, no binding.

Room confinement for a juvenile for longer than one hour during a 24 hour period shall be documented and Provide for room approved. Provides for several reasons when room confinement of juveniles as Select File confinement cannot be used, including- punishment, 230 M prescribed Pansing Brooks Judiciary 2/14/2019 within ER141 staffing shortage, retaliation by staff, room availability.

A public school participating in the National School Lunch Program or the School Breakfast Program shall provide each student who is eligible for a reduced-price breakfast or reduced-price lunch with such meal at no cost to the student. The State Dept. of Education shall Adopt the Child Hunger In committee reimburse each school district in the amount that the 251 S Workforce Readiness Act Walz Education 1/28/2019 1/14/2019 school district would otherwise have charged. Prohibits public and private employers and Adopt the Fair Chance Hiring employment agencies from asking for criminal history 254 M Act McCollister Business & Labor 2/4/2019 Final Reading as prescribed Individuals who are employed with, or who is self- employed, providing child care and early education for Change provisions relating an eligible program for at least six months may obtain a to a tax credit for child care tax credit on the quality scale rating under the Step Up 266 M and education providers Lindstrom Revenue 2/1/2019 General File to Quality Child Care Act

Mandates that private employers with four or more Placed on employees provide workers at least one hour of paid Adopt the Healthy and Safe General File "sick and safe time" for every 30 hours worked. An 305 M Families Workplace Act Crawford Business & Labor 2/4/2019 with AM592 employer with a paid leave policy is exempt

The Legislature finds that enhanced support to children and families can prevent foster care placement through Adopt the Nebraska Family the provision of mental health and substance abuse First Act, provide for non- prevention and treatment services, in-home parent court-involved response to skill-based programs, and kinship navigator services. reports of child abuse or In committee Align state welfare funding with primary outcomes of 328 M neglect Bolz HHS 3/7/2019 1/18/2019 safety, permanency, and well-being. 2020 Bill Watch List21

The office of the Director of Administrative Services shall include in the annual budget report on agency budget requests information that compiles and summarizes the following- the aggregate value of the federal receipts of the agency for the preceding year, the aggregate amount appropriated to the agency by the Legislature in the preceding year, the percentage of Require report of federal the agency's total budget that constitutes federal receipts with the annual General File receipts, a description of any requirement for a state 337 M state budget report Stinner Government, Military & VA 2/21/2019 with AM971 match

Adopt the School Safety and In committee Authorizes schools to allow school employees to carry 343 M Rapid Response Option Act Halloran Judiciary 2/28/2019 1/18/2019 concealed handguns at school as prescribed

Change helmet provisions for auto cycles, motorcycles Transportation & Hilkeman Requires eye protection for all riders and passengers. 378 M and mopeds Hansen Telecommunication 2/12/2019 AM1665 filed Repeal helmet requirements for those 21 and over If the child has been cared for by a non-relative foster Change provisions relating parent or parents for a continuous period of 12 months to termination of parental or more and bonding has occurred, preference shall be rights, placement of children Introduced given to permanent placement with such foster parent 388 M and guardianship Howard Judiciary 2/8/2019 1/17/2019 or parent unless declined Change provisions relating to termination of parental Introduced To change and provide grounds for termination of 389 M rights Howard Judiciary 2/8/2019 1/17/2019 parental rights

Change provisions relating Introduced 458 S to child abuse or neglect Lathrop Judiciary 3/15/2019 1/18/2019 Creates a multidisciplinary team for child abuse

Appropriate money to the Youth Rehabilitation and Introduced $2 million from the General Fund to the Youth Rehab 485 M Treatment Center-Kearney Lowe Appropriations 3/26/2019 1/22/2019 and Treatment Center- Kearney Beginning with school year 2020-2021, each school district shall incorporate age-appropriate mental health education into the school program. Includes defining Adopt school district mental health, warning signs, characteristics of mental requirements for mental wellness, resources. Shall also incorporate drug health education and awareness and prevention into the school program for change school district students in each grade. Education shall include- requirements for drug Introduced strategies to prevent illegal use of alcohol, tobacco or 488 M awareness and prevention Howard Education 3/25/2019 1/22/2019 other drugs, and how to reduce risk of abusing and at 2020 Bill Watch List22

Requires each credential holder under the Uniform Require registration for the Credentialing Act to register with the department for prescription drug monitoring Introduced the PDMP. Required within one month after issuance 489 M program Howard HHS 3/28/2019 1/22/2019 of the original or renewal credential. No fee.

Requires a report of any child that may be a victim of Change provisions relating sex trafficking and requires an in-person investigation to child abuse, the Child with law enforcement, local child advocacy center and Protection and Family Safety child abuse and neglect investigation team. Also has Act, human trafficking and Introduced LB517 which changes human trafficking civil damage 516 M child welfare Pansing Brooks Judiciary 2/22/2019 1/22/2019 provisions Requires DHHS to educate residents of the state about the need for bone marrow donors, “patient populations benefiting from bone marrow donations, Provide a duty for the DHHS General File and how to acquire a free buccal swab kit from a bone 541 M relating to bone marrow Walz HHS 3/13/2019 with AM950 marrow registry.”

Requires notice and disclosure of information relating to the cost and pricing of prescription drugs, permits a manufacturer of a drug to negotiate discounts and rebates for drugs consistent with state and federal aw. Applies to the manufacturer of a drug that is purchased or the price of which is reimbursed by any of the following- a state purchaser in NE (correctional services, DHHS, etc.) and a PBM among a few others. A manufacturer of a drug with a wholesale acquisition cost of more than $40 for a course of therapy shall provide notice to persons identified if the increase in wholesale acquisition cost is more than 60%. Notice shall be provided in writing at least 60 days prior to the planned effective date of the increase. If a PBM receives a notice of the increase to contracting public Adopt the Prescription Drug Introduced and private purchasers which provide coverage for 567 M Cost Transparency Act Morfeld HHS 2/13/2019 1/22/2019 more than 500 lives. 2020 Bill Watch List23

Dept. of Ed shall establish a mental health first aid training for teachers and other personnel employed by a school district or an ESU. Training provided by certified professionals from a national organization for behavioral health. Trains teachers and staff on skills, Provide for mental health resources, knowledge to assist students in crisis to first aid training for school connect with appropriate mental health care services, districts and change create action plans, safely de-escalate the crisis, timely provisions relating to the Introduced refer student to a mental health service in the early 568 S use of lottery funds Morfeld Education 3/18/2019 1/22/2019 stages of the development of a mental disorder Prior to scheduling an appointment with a covered person for a nonemergency procedure, a health care facility shall- disclose to the covered person whether they are in-network or out-of-network with respect to the cover person’s health benefits plan; advise that the Adopt the Out-of-Network covered person will have a financial responsibility Consumer Protection, applicable to an in-network procedure and not in Transparency and Banking, Commerce & Introduced excess of the covered’s copayment, deductible or 569 M Accountability Act Morfeld Insurance 3/5/2019 1/22/2019 coinsurance. Any vehicle used by or on behalf of a school district or ESU for the transportation of students shall be equipped with three-point safety belt systems. Exempt if- vehicle was purchased prior to the effective date of Require three-point safety the act or if the school board or ESU holds a vote that belt systems for school Transportation & Introduced money is not in the budget to accommodate such 634 S vehicles Hilkemann Telecommunication 3/4/2019 1/23/2019 changes. State Treasurer shall transfer $200,000 for FY 2020-21 Change Nebraska Health from the Health Care Cash Fund to the Board of Care Cash Fund and train Regents to be used for the Simulation in Motion first responders and EMTs in Introduced program to train first responders and EMTs in rural 666 M rural areas Dorn Appropriations 3/12/2019 1/23/2019 areas. EMS shall transmit a request for payment to recipient of service involving transportation of the recipient to a Require billing for Introduced health care facility or to his or her parent or guardian if 701 M emergency medical services Bostelman HHS 3/20/2019 1/23/2019 recipient is a minor 2020 Bill Watch List24

Tobacco tax increase bill. All tobacco products beginning FY 2020-21 and thereafter will have $1.50 of a $2.14 tax shall be distributed to- 70% General Fund, 1.1% Outdoor Recreation Development Cash Fund, 1% to UNMC and Creighton for cancer research, 2.5% to Building Renewal Allocation Fund, 3% equally distributed to UNMC, Creighton and Boys Town for neurobehavioral research in children, 25% Medicaid expansion, 2% College of Public Health, 2% FQHCs, 6% to increase CHIP eligibility, 1% EMS initiatives, 2.5% FMLA start up, 5% K-12 education, 2.5% telehealth services, and 2% to the Behavioral Health Provider Rate Stabilization Fund which is created by this bill to Tobacco tax increase and Introduced support reimbursement of behavioral health services 710 S distribution of funds Cavanaugh Revenue 2/28/2019 1/23/2019 provider rates.

State Dept. of Education in consultation with DHHS shall provide each school district with a registry of state and local mental health resources available to work with students and families by geographic area. Registry shall be updated annually and include resources for both school-based services and services outside of the Provide duties for school school. Each school district shall designate one or more districts, State Dept. of mental health points of contact for each school Education and DHHS with building (nurse, administrator, psychologist, social respect to mental health Introduced worker, etc.) and must train them to have knowledge 727 S services Walz Education 2/19/2019 1/23/2019 of community service providers for students The department shall promote practices to prevent and reduce student debt for school breakfasts and lunches and shall create a uniform meal charge policy that schools may implement that shall require- each student be served a reimbursable meal upon request at each meal during each school day, regardless of whether Provide duties relating to Introduced such student can immediately pay for the meal or has 728 S school meals Walz Education 2/19/2019 1/23/2019 accrued debt. 2020 Bill Watch List25

An APRN may, within scope of practice- conduct an advanced assessment as defined by the board, order and interpret diagnostic procedures, establish primary and differential diagnosis, prescribe, order, administer, dispense and furnish therapeutic measures, consult with other health care professionals and provide referrals to providers and resources; wear ID that identifies individual is an APRN; May assess the need Change provisions relating Introduced for and prescribe, administer drugs, immunizing 730 M to APRNs Walz HHS 2/6/2019 1/23/2019 agents, diagnostic tests and treatments. 2020 Bill Watch List26