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Cities, fire departments back bill to let Nebraska draw federal GEMT funds for ambulance costs

2469039 · February 26, 2025
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Summary

LB610 would amend Nebraska's Medicaid state plan language to allow supplemental federal reimbursement (GEMT) for ground emergency medical transport services. Proponents said the change would help public and volunteer EMS and reduce local taxpayer pressure; DHHS outlined implementation mechanics and said the program is voluntary for providers.

Members of the Health and Human Services Committee heard bipartisan support for LB610, legislation that would adjust Nebraska's Medicaid state plan language to permit supplemental federal reimbursement for ground emergency medical transport (GEMT).

Sponsor Sen. Eliot Bostar said the change would allow Nebraska to claim federal Medicaid matching funds for the reasonable cost differential between Medicaid reimbursements and the actual costs of ambulance transports. He and witnesses said the program is voluntary for local governmental providers and has been adopted by many neighboring states.

Fire chiefs, municipal…

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