NE LB641

Amends Nebraska's Medicaid estate recovery law (Section 68-919) to add assisted living facilities to the definition of "medical institution" for purposes of determining when a recipient becomes indebted to the Department of Health and Human Services

Creates a new exemption allowing life estate interests in real estate to be excluded from a Medicaid recipient's estate after 12 months if a relative resides solely and continuously with the recipient and provided care that delayed the recipient's admission to a medical institution

Establishes that a written physician attestation stating a sibling, adult child, or relative provided care that delayed a recipient's institutional admission serves as sufficient documentation for the department to avoid foreclosure on a home lien or exclude a life estate interest from estate recovery

Clarifies that care provided by family members to delay institutionalization may be either reimbursed or unreimbursed

Approved by the Governor on May 20, 2025; introduced by Senator Bostar (District 29)