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Nebraska Senate removes sunset on Prenatal Plus program, extends reporting

Nebraska Legislature (Senate) · April 8, 2026

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Summary

The Nebraska Legislature adopted AM 29-77 to remove a 2028 sunset from the Prenatal Plus program, allowing Medicaid-covered enhanced prenatal services to continue and adding an extended reporting period; sponsors said DHHS supports the change and the amendment carries no general-fund impact.

The Nebraska Senate on the 57th day adopted AM 29-77, striking a scheduled 2028 sunset for the Prenatal Plus program and extending the program’s reporting period.

Senator Dungan, who opened the amendment, said the Prenatal Plus program provides enhanced services to at-risk pregnant people on Medicaid and has delivered measurable benefits. "This amendment simply strikes the sunset provision and allows the Prenatal Plus program to continue," Dungan said, adding that DHHS officials had been consulted and were supportive.

Supporters told colleagues the amendment carries no general-fund impact. Senator Mikaela Kavanaugh noted the item is already accounted for in the budget the body passed and urged a favorable vote. Opponents and questioners pressed for clarity on oversight and measurement; Dungan said the change includes an extended reporting period so the Legislature and DHHS can review outcomes and ensure the program continues to benefit participants.

Senators repeatedly framed the amendment as a narrow, nonfiscally impacting technical change paired with updated reporting. "We agree we don't need reports into perpetuity," Dungan said, adding the reporting period will allow ongoing data collection on program effectiveness.

The Clerk reported 42 ayes and no nays; AM 29-77 was adopted. Because the amendment removes the sunset provision rather than changing covered services or reimbursement levels, proponents said HHS will handle future rate-setting and program details under its routine oversight and reporting procedures.

The action now allows Prenatal Plus to continue without the previously scheduled automatic expiration; the Legislature will retain oversight through the extended reporting requirement.