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Bill would align licensure for day centers to expand access and avoid duplication
Summary
LB1057 would clarify that certified developmental disability day‑center providers are exempt from separate public‑health adult‑day licensure when serving aged & disabled waiver participants. DHHS and providers supported the change as a means to increase access and eliminate duplicative regulation.
Senator Beau Ballard presented LB1057 to remove duplicative licensure requirements that force developmental disabilities (DD) day‑center operators to obtain an additional adult‑day health license to serve individuals on the aged and disabled waiver in the same facility. Ballard and the Department of Health and Human Services said the clarification aligns oversight frameworks, reduces administrative burden and allows more efficient use of existing day‑center capacity for people on different waivers.
Tony Green (DHHS) testified in support and described the bill as a narrow statutory clarification that preserves safeguards while eliminating duplicative licensure that can force providers to separate participants in the same building solely because of which waiver funds services. Provider witnesses said expanding access to DD day‑center sites for aged and disabled waiver participants can shorten wait lists, improve caregiver support and save Medicaid dollars by shifting some individuals from higher‑cost in‑home hourly services to daily center rates.
The committee heard no opponents and recorded broad support in testimony. Sponsors and witnesses described the change as administrative rather than programmatic: certification and oversight would remain in place under existing DD certification. The hearing closed with the department and providers urging the committee to advance the bill to general file.
