---
type: "Bill"
title: "Require the Department of Health and Human Services to file a state plan amendment for evidence-based nurse home-visitation services"
description: "Require the Department of Health and Human Services to file a state plan amendment for evidence-based nurse home-visitation services"
jurisdiction: "us/states/ne"
legislature: "Nebraska Legislature"
session: "109"
identifier: "LB 22"
citation: "Nebraska LB 22 (109)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dungan"]
version_count: 6
action_count: 23
vote_count: 5
first_action: "2025-01-09"
last_action: "2025-06-06"
source: "openstates"
source_identifier: "ocd-bill/c57a2e7c-e986-41e1-8792-706f61a1dfc8"
source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2025"
source_hash: "8506891232e02690b4a3ec3d678b61706ee8b1387cea0208bfed7c8dd927a259"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ne"]
---

# Nebraska LB 22 (109) — Require the Department of Health and Human Services to file a state plan amendment for evidence-based nurse home-visitation services

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB22.pdf)
2. **Dungan AM258** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM258.pdf)
3. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB22.pdf)
4. **Health and Human Services AM102** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM102.pdf)
5. **Raybould AM348** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM348.pdf)
6. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB22.pdf)

## Votes

- Advanced to Enrollment and Review Initial — **43–0** (pass) · legislature
- Health and Human Services AM102 adopted — **43–0** (fail) · legislature
- Passed on Final Reading 47-0-2 — **47–0** (pass) · legislature
- Raybould AM348 adopted — **38–0** (fail) · legislature
- Dungan AM258 adopted — **44–0** (fail) · legislature

## Sponsors

- Dungan — primary (person)
- Conrad — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2025-06-06** Provisions/portions of LB104 amended into LB22 by AM348
- **2025-04-10** Approved by Governor on April 9, 2025 `executive-signature`
- **2025-04-03** Presented to Governor on April 3, 2025 `executive-receipt`
- **2025-04-03** President/Speaker signed `passage`
- **2025-04-03** Passed on Final Reading 47-0-2 `passage`
- **2025-04-03** Dispensing of reading at large approved
- **2025-03-17** Enrollment and Review ST10 recorded
- **2025-03-17** Enrollment and Review ST10 filed `filing`
- **2025-03-17** Placed on Final Reading with ST10 `reading-3`
- **2025-03-11** Advanced to Enrollment and Review for Engrossment
- **2025-03-11** Raybould AM348 adopted
- **2025-03-11** Dungan AM258 adopted
- **2025-02-25** Raybould AM348 filed `filing`
- **2025-02-18** Placed on Select File `filing`
- **2025-02-12** Dungan AM258 filed `filing`
- **2025-02-10** Advanced to Enrollment and Review Initial
- **2025-02-10** Health and Human Services AM102 adopted
- **2025-02-05** Health and Human Services AM102 filed `filing`
- **2025-02-05** Placed on General File with AM102 `committee-passage`
- **2025-01-14** Conrad name added
- **2025-01-13** Notice of hearing for January 23, 2025
- **2025-01-13** Referred to Health and Human Services Committee `referral-committee`
- **2025-01-09** Date of introduction `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c57a2e7c-e986-41e1-8792-706f61a1dfc8`. Confidence: reported (aggregated from official Nebraska legislature records).