reglab/housing_qa huggingface dataset:
NE Code § 68-720 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-720 - Aid to dependent children; child care subsidy program; administrative disqualification; intentional program violation; disqualification period.

68-720.  Aid to dependent children; child care subsidy program; administrative disqualification; intentional program violation; disqualification period.(1) The Department of Health and Human Services shall establish an administrative disqualification process for the aid to dependent children program described in section 43-512 and the child care subsidy program established pursuant to section 68-1202. The department may initiate an administrative disqualification proceeding when it has reason to believe, on the basis of sufficient documentary evidence, that an individual has committed an intentional program violation. Proceedings under this section shall be subject to the Administrative Procedure Act.(2) If an individual is found to have committed an intentional program violation, a period of disqualification shall be imposed. The period may be determined by the Department of Health and Human Services after an administrative disqualification hearing or without a hearing if the individual waives his or her right to such hearing. The period of disqualification shall be: (a) For a first violation, up to one year; (b) for a second violation, up to two years; and (c) for a third violation, permanent disqualification. The penalties described in this subsection shall also be imposed if the individual is found by a court to have violated section 68-1017.(3) For the aid to dependent children program, only the individual found to have committed the intentional program violation shall be disqualified under this section. For the child care subsidy program, the individual found to have committed the intentional violation shall disqualify such individual and his or her family under this section. The department shall inform each applicant in writing of the penalties described in this section for intentional program violations each time an application for benefits is made to either program.(4) For purposes of this section, intentional program violation means any action by an individual to intentionally (a) make a false statement, either verbally or in writing, to obtain benefits to which the individual is not entitled, (b) conceal information to obtain benefits to which the individual is not entitled, or (c) alter one or more documents to obtain benefits to which the individual is not entitled.(5) The department may adopt and promulgate rules and regulations to carry out this section.Source Laws 2008, LB797, § 30. Cross References  Administrative Procedure Act, see section 84-920.
NE Code § 68-901 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-901 - Medical Assistance Act; act, how cited.

68-901.  Medical Assistance Act; act, how cited.Sections 68-901 to 68-9,101 shall be known and may be cited as the Medical Assistance Act.Source  Laws 2006, LB 1248, § 1;  Laws 2008, LB830, § 1;  Laws 2009, LB27, § 1;  Laws 2009, LB288, § 18;  Laws 2009, LB342, § 1;  Laws 2009, LB396, § 1;  Laws 2010, LB1106, § 1;  Laws 2011, LB525, § 1;  Laws 2012, LB541, § 1;  Laws 2012, LB599, § 2;  Laws 2015, LB500, § 1;  Laws 2016, LB698, § 15;  Laws 2017, LB268, § 10;  Laws 2017, LB578, § 1;   Initiative Law 2018, No. 427, § 1;  Laws 2019, LB468, § 1;  Laws 2019, LB726, § 1;  Laws 2020, LB956, § 1;  Laws 2020, LB1002, § 43;  Laws 2020, LB1053, § 1;  Laws 2020, LB1158, § 1;  Laws 2021, LB100, § 1.   Operative Date: August 28, 2021  Annotations By enacting the Medical Assistance Act, Nebraska elected to participate in the federal Medicaid program; therefore, the State must comply with federal Medicaid statutes and regulations. Smalley v. Nebraska Dept. of Health & Human Servs., 283 Neb. 544, 811 N.W.2d 246 (2012).
NE Code § 68-902 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-902 - Purposes of act.

68-902.  Purposes of act.The purposes of the Medical Assistance Act are to (1) reorganize and recodify statutes relating to the medical assistance program, (2) provide for implementation of the Medicaid Reform Plan, (3) clarify public policy relating to the medical assistance program, (4) provide for administration of the medical assistance program within the department, and (5) provide for legislative oversight and public comment regarding the medical assistance program.Source Laws 2006, LB 1248, § 2.
NE Code § 68-903 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-903 - Medical assistance program; established.

68-903.  Medical assistance program; established.The medical assistance program is established, which shall also be known as medicaid.Source   Laws 1965, c. 397, § 3, p. 1277;   R.S.1943, (2003), § 68-1018;  Laws 2006, LB 1248, § 3.  Annotations Nebraska has elected to participate in the federal Medicaid program through the enactment of this section. Boruch v. Nebraska Dept. of Health and Human Servs., 11 Neb. App. 713, 659 N.W.2d 848 (2003).
NE Code § 68-904 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-904 - Legislative findings.

68-904.  Legislative findings.The Legislature finds that (1) many low-income Nebraska residents have health care and related needs and are unable, without assistance, to meet such needs, (2) publicly funded medical assistance provides essential coverage for necessary health care and related services for eligible low-income Nebraska children, pregnant women and families, aged persons, and persons with disabilities, (3) publicly funded medical assistance alone cannot meet all of the health care and related needs of all low-income Nebraska residents, (4) the State of Nebraska cannot sustain a rate of growth in medical assistance expenditures that exceeds the rate of growth of General Fund revenue, (5) policies must be established for the medical assistance program that will effectively address the health care and related needs of eligible recipients and effectively moderate the growth of medical assistance expenditures, and (6) publicly funded medical assistance must be integrated with other public and private health care and related initiatives providing access to health care and related services for Nebraska residents.Source Laws 2006, LB 1248, § 4.
NE Code § 68-905 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-905 - Program of medical assistance; statement of public policy.

68-905.  Program of medical assistance; statement of public policy.It is the public policy of the State of Nebraska to provide a program of medical assistance on behalf of eligible low-income Nebraska residents that (1) assists eligible recipients to access necessary and appropriate health care and related services, (2) emphasizes prevention, early intervention, and the provision of health care and related services in the least restrictive environment consistent with the health care and related needs of the recipients of such services, (3) emphasizes personal independence, self-sufficiency, and freedom of choice, (4) emphasizes personal responsibility and accountability for the payment of health care and related expenses and the appropriate utilization of health care and related services, (5) cooperates with public and private sector entities to promote the public health, (6) cooperates with providers, public and private employers, and private sector insurers in providing access to health care and related services and encouraging and supporting the development and utilization of alternatives to publicly funded medical assistance for such services, (7) is appropriately managed and fiscally sustainable, and (8) qualifies for federal matching funds under federal law.Source Laws 2006, LB 1248, § 5.
NE Code § 68-906 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-906 - Medical assistance; state accepts federal provisions.

68-906.  Medical assistance; state accepts federal provisions.For purposes of paying medical assistance under the Medical Assistance Act and sections 68-1002 and 68-1006, the State of Nebraska accepts and assents to all applicable provisions of Title XIX and Title XXI of the federal Social Security Act. Any reference in the Medical Assistance Act to the federal Social Security Act or other acts or sections of federal law shall be to such federal acts or sections as they existed on January 1, 2010.Source   Laws 1965, c. 397, § 6, p. 1278;   Laws 1993, LB 808, § 2;   Laws 1996, LB 1044, § 324;   Laws 1998, LB 1063, § 7;  Laws 2000, LB 1115, § 10;  Laws 2005, LB 301, § 4;   R.S.Supp.,2005, § 68-1021;  Laws 2006, LB 1248, § 6;  Laws 2007, LB185, § 1;  Laws 2008, LB797, § 4;  Laws 2009, LB288, § 19;  Laws 2010, LB849, § 13. Annotations This section requires the director of the Department of Health and Human Services Finance and Support to promulgate rules and policies implementing the Nebraska Medicaid program. Boruch v. Nebraska Dept. of Health and Human Servs., 11 Neb. App. 713, 659 N.W.2d 848 (2003).
NE Code § 68-907 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-907 - Terms, defined.

68-907.  Terms, defined.For purposes of the Medical Assistance Act:(1) Committee means the Health and Human Services Committee of the Legislature;(2) Department means the Department of Health and Human Services;(3) Medicaid Reform Plan means the Medicaid Reform Plan submitted on December 1, 2005, pursuant to the Medicaid Reform Act enacted pursuant to Laws 2005, LB 709;(4) Medicaid state plan means the comprehensive written document, developed and amended by the department and approved by the federal Centers for Medicare and Medicaid Services, which describes the nature and scope of the medical assistance program and provides assurances that the department will administer the program in compliance with federal requirements;(5) Provider means a person providing health care or related services under the medical assistance program;(6) School-based health center means a health center that:(a) Is located in or is adjacent to a school facility;(b) Is organized through school, school district, learning community, community, and provider relationships;(c) Is administered by a sponsoring facility;(d) Provides school-based health services onsite during school hours to children and adolescents by health care professionals in accordance with state and local laws, rules, and regulations, established standards, and community practice;(e) Does not perform abortion services or refer or counsel for abortion services and does not dispense, prescribe, or counsel for contraceptive drugs or devices; and(f) Does not serve as a child's or an adolescent's medical or dental home but augments and supports services provided by the medical or dental home;(7) School-based health services may include any combination of the following as determined in partnership with a sponsoring facility, the school district, and the community:(a) Medical health;(b) Behavioral and mental health;(c) Preventive health; and(d) Oral health;(8) Sponsoring facility means:(a) A hospital;(b) A public health department as defined in section 71-1626;(c) A federally qualified health center as defined in section 1905(l)(2)(B) of the federal Social Security Act, 42 U.S.C. 1396d(l)(2)(B), as such act and section existed on January 1, 2010;(d) A nonprofit health care entity whose mission is to provide access to comprehensive primary health care services;(e) A school or school district; or(f) A program administered by the Indian Health Service or the federal Bureau of Indian Affairs or operated by an Indian tribe or tribal organization under the federal Indian Self-Determination and Education Assistance Act, or an urban Indian program under Title V of the federal Indian Health Care Improvement Act, as such acts existed on January 1, 2010; and(9) Waiver means the waiver of applicability to the state of one or more provisions of federal law relating to the medical assistance program based on an application by the department and approval of such application by the federal Centers for Medicare and Medicaid Services.Source  Laws 2006, LB 1248, § 7;  Laws 2007, LB296, § 246;  Laws 2010, LB1106, § 2.
NE Code § 68-908 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-908 - Department; powers and duties.

68-908.  Department; powers and duties.(1) The department shall administer the medical assistance program.(2) The department may (a) enter into contracts and interagency agreements, (b) adopt and promulgate rules and regulations, (c) adopt fee schedules, (d) apply for and implement waivers and managed care plans for services for eligible recipients, including services under the Nebraska Behavioral Health Services Act, and (e) perform such other activities as necessary and appropriate to carry out its duties under the Medical Assistance Act. A covered item or service as described in section 68-911 that is furnished through a school-based health center, furnished by a provider, and furnished under a managed care plan pursuant to a waiver does not require prior consultation or referral by a patient's primary care physician to be covered. Any federally qualified health center providing services as a sponsoring facility of a school-based health center shall be reimbursed for such services provided at a school-based health center at the federally qualified health center reimbursement rate.(3) The department shall maintain the confidentiality of information regarding applicants for or recipients of medical assistance and such information shall only be used for purposes related to administration of the medical assistance program and the provision of such assistance or as otherwise permitted by federal law.(4) The department shall prepare an annual summary and analysis of the medical assistance program for legislative and public review. The department shall submit a report of such summary and analysis to the Governor and the Legislature electronically no later than December 1 of each year.Source   Laws 1965, c. 397, § 8, p. 1278;   Laws 1967, c. 413, § 2, p. 1278;   Laws 1982, LB 522, § 43;   Laws 1996, LB 1044, § 325;   R.S.1943, (2003), § 68-1023;  Laws 2006, LB 1248, § 8;  Laws 2007, LB296, § 247;  Laws 2009, LB288, § 20;  Laws 2010, LB1106, § 3;  Laws 2012, LB782, § 91;  Laws 2012, LB1158, § 1;  Laws 2017, LB417, § 7.  Cross References  Nebraska Behavioral Health Services Act, see section 71-801.
NE Code § 68-909 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-909 - Existing contracts, agreements, rules, regulations, plan, and waivers; how treated; report required; exception; department; powers and duties.

68-909.  Existing contracts, agreements, rules, regulations, plan, and waivers; how treated; report required; exception; department; powers and duties.(1) All contracts, agreements, rules, and regulations relating to the medical assistance program as entered into or adopted and promulgated by the department prior to July 1, 2006, and all provisions of the medicaid state plan and waivers adopted by the department prior to July 1, 2006, shall remain in effect until revised, amended, repealed, or nullified pursuant to law.(2) Prior to the adoption and promulgation of proposed rules and regulations under section 68-912 or relating to the implementation of medicaid state plan amendments or waivers, the department shall provide a report to the Governor and the Legislature no later than December 1 before the next regular session of the Legislature summarizing the purpose and content of such proposed rules and regulations and the projected impact of such proposed rules and regulations on recipients of medical assistance and medical assistance expenditures. The report submitted to the Legislature shall be submitted electronically. Any changes in medicaid copayments in fiscal year 2011-12 are exempt from the reporting requirement of this subsection and the requirements of section 68-912.(3) The department shall monitor the implementation of rules and regulations, medicaid state plan amendments, and waivers adopted under the Medical Assistance Act and the effect of such rules and regulations, amendments, or waivers on eligible recipients of medical assistance and medical assistance expenditures.Source  Laws 2006, LB 1248, § 9;  Laws 2008, LB928, § 15;  Laws 2011, LB468, § 1;  Laws 2012, LB782, § 92;  Laws 2017, LB417, § 8;  Laws 2017, LB644, § 16.
NE Code § 68-910 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-910 - Medical assistance payments; source of funds.

68-910.  Medical assistance payments; source of funds.(1) Medical assistance shall be paid from General Funds, cash funds, federal funds, and such other funds as may qualify for federal matching funds under federal law. General Fund appropriations for the program shall be based on an assessment by the Legislature of General Fund revenue and the competing needs of other state-funded programs.(2) Medical assistance paid on behalf of eligible recipients may include, but is not limited to, (a) direct payments to vendors under a fee-for-service, managed care, or other provider contract, (b) premium payments, deductibles, and coinsurance for private health insurance coverage, employer-sponsored coverage, catastrophic health insurance coverage, or long-term care insurance coverage, and (c) payments to providers who serve eligible recipients of medical assistance or low-income uninsured persons and meet federal and state disproportionate-share payment requirements.(3) Medical assistance shall not be paid directly to eligible recipients.Source   Laws 1965, c. 397, § 7, p. 1278;   Laws 1967, c. 410, § 2, p. 1274;   Laws 1979, LB 138, § 1;   Laws 1981, LB 39, § 1;   Laws 1982, LB 522, § 42;   Laws 1983, LB 604, § 24;   Laws 1986, LB 1253, § 1;   R.S.1943, (2003), § 68-1022;  Laws 2006, LB 1248, § 10.
NE Code § 68-912 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-912 - Limits on goods and services; considerations; procedure.

68-912.  Limits on goods and services; considerations; procedure.(1) The department may establish (a) premiums, copayments, and deductibles for goods and services provided under the medical assistance program, (b) limits on the amount, duration, and scope of goods and services that recipients may receive under the medical assistance program subject to subsection (5) of this section, and (c) requirements for recipients of medical assistance as a necessary condition for the continued receipt of such assistance, including, but not limited to, active participation in care coordination and appropriate disease management programs and activities.(2) In establishing and limiting coverage for services under the medical assistance program, the department shall consider (a) the effect of such coverage and limitations on recipients of medical assistance and medical assistance expenditures, (b) the public policy in section 68-905, (c) the experience and outcomes of other states, (d) the nature and scope of benchmark or benchmark-equivalent health insurance coverage as recognized under federal law, and (e) other relevant factors as determined by the department.(3) Coverage for mandatory and optional services and limitations on covered services as established by the department prior to July 1, 2006, shall remain in effect until revised, amended, repealed, or nullified pursuant to law. Any proposed reduction or expansion of services or limitation of covered services by the department under this section shall be subject to the reporting and review requirements of section 68-909.(4) Except as otherwise provided in this subsection, proposed rules and regulations under this section relating to the establishment of premiums, copayments, or deductibles for eligible recipients or limits on the amount, duration, or scope of covered services for eligible recipients shall not become effective until the conclusion of the earliest regular session of the Legislature in which there has been a reasonable opportunity for legislative consideration of such rules and regulations. This subsection does not apply to rules and regulations that are (a) required by federal or state law, (b) related to a waiver in which recipient participation is voluntary, or (c) proposed due to a loss of federal matching funds relating to a particular covered service or eligibility category. Legislative consideration includes, but is not limited to, the introduction of a legislative bill, a legislative resolution, or an amendment to pending legislation relating to such rules and regulations.(5) Any limitation on the amount, duration, or scope of goods and services that recipients may receive under the medical assistance program shall give full and deliberate consideration to the role of home health services from private duty nurses in meeting the needs of a disabled family member or disabled person.Source   Laws 1993, LB 804, § 2;   Laws 1996, LB 1044, § 316;   R.S.1943, (2003), § 68-1019.01;  Laws 2006, LB 1248, § 12;  Laws 2012, LB1122, § 1.
NE Code § 68-913 (2021)
2021 Nebraska Revised Statutes|Chapter 68 - Public Assistance|68-913 - Medical assistance program; public awareness; public school district; hospital; duties.

68-913.  Medical assistance program; public awareness; public school district; hospital; duties.(1) Each public school district shall annually, at the beginning of the school year, provide written information supplied by the department to every student describing the availability of children's health services provided under the medical assistance program.(2) Each hospital shall provide the mother of every child born in such hospital, at the time of such birth, written information provided by the department describing the availability of children's health services provided under the medical assistance program.(3) The department shall develop and implement other activities designed to increase public awareness of the availability of children's health services provided under the medical assistance program. Such activities shall include materials and efforts designed to increase participation in the program by minority populations.Source   Laws 1998, LB 1063, § 10;   R.S.1943, (2003), § 68-1025.01;  Laws 2006, LB 1248, § 13;  Laws 2007, LB296, § 248.