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Long floor debate ends with committee package advancing midwifery, doula provisions to engrossing

3125815 · April 24, 2025
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Summary

After extensive floor debate and multiple amendments, the Legislature advanced a three-bill maternal-health package that expands CNM practice authority, considers licensure for direct-entry midwives, and begins planning Medicaid reimbursement for doula services.

The Legislature advanced a three-part maternal-health package that included changes to certified nurse‑midwife practice (LB 6 76), a proposal to license certified professional midwives (LB 3 74), and a measure to pursue Medicaid reimbursement for doula services (LB 7 01). The package was debated for several hours, produced multiple floor amendments and intense questioning from members, and ultimately the underlying committee package was advanced to engrossing.

What the package contains: Sponsor Senator Mervin Hansen introduced LB 6 76 to give certified nurse midwives (CNMs) independent-practice authority and to remove location restrictions that previously barred CNMs from attending home births in Nebraska. The full committee package (AM655) combined language from LB 6 76, LB 3 74 (to create a separate licensure category for…

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