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The 10-day bill introductory period is complete, resulting in the introduction of 663 bills and 4 constitutional amendments. Last week, I summarized most of the bills that I had introduced to date.
This past week, I introduced several more, including LB 490, which would adopt the Provider Orders for Life-Sustaining Treatment (POLST) Act. A POLST is a medical order, completed and signed by a medical provider, resulting from a detailed conversation between the patient and physician or other health care provider. A POLST is intended towards individuals with advanced illness or frailty. The purpose of a POLST is to improve end-of-life care by converting a patient’s treatment preferences into medical orders that are transferable amongst home and health care settings. The use of a POLST form is not mandatory. It is voluntary, meaning that it is used only if a patient chooses to complete one. It can be reviewed and revised as needed. It is limited to one page, is printed on bright colored paper, and is commonly kept on the refrigerator for easy recognition by paramedics.
POLST legislation has been approved in 19 states. Additional states are in the process of developing programs. Several communities in Nebraska are already using a POLST form. A primary goal of LB 490 is to have a standard form, for use throughout the state, in order to avoid confusion among health care providers in emergency situations.
Newly elected Governor Pete Ricketts delivered his first State of the State Address this past week. The Governor outlined the following objectives: controlling spending to keep it under the growth in revenue; property tax relief; cultural change and operational excellence in state agencies (through the creation of two new positions in the Governor’s cabinet – a chief operating officer and a human resources director); comprehensive reform in the Department of Corrections and the Department of Health and Human Services; regulatory process review; building on a military friendly culture; and improving educational outcomes, by creating a public-private partnership to create a career and vocational training program.
The Governor’s budget proposal would limit the two-year average growth in general fund spending to 3.1%, which is significantly less than the approximate 6.5% per year budget growth during the last biennium. He also stressed that he would not support any tax increases. To deal with what he termed as the #1 priority, he would add an additional $60 million per year to the Property Tax Credit Relief Fund. This is the concept that is contained in LB 364, a bill that I introduced last week. The Governor also indicated his support for reducing the value of agricultural land from 75% to 65% of actual value, along with an additional $9.5 million to the state aid formula, to make up for the loss in property tax revenue for school districts. I have introduced legislation similar to this concept, in 2013 and again this year, with LB 178.
The cash reserve fund was not touched by the Governor’s plan. However, he hinted that he believes the balance is too high and a portion should be returned to taxpayers. Although the Governor has indicated that he is supportive of income tax reductions, his proposal focused on property tax relief and only contained income tax relief for retired military veterans.
The public hearing process has started with committees meeting every afternoon. In the mornings, senators have begun debating legislation that has been advanced from the various committees.
If you would like to voice your opinion on legislation that has been introduced, I encourage you to contact me. I can be reached at District #1, P.O. Box 94604, State Capitol, Lincoln, NE 68509. My email address is firstname.lastname@example.org and my telephone number is (402) 471-2733.