On October 1, 2025, Nebraska submitted an amendment to the Nebraska Substance Use Disorder Program Section 1115 Demonstration. The state is seeking federal financial participation for services furnished to eligible individuals who are receiving treatment for serious mental illness or severe emotional disturbance who are short-term residents in facilities that meet the definition of an institution for mental diseases. The state is also proposing a medical respite care service provided to adult individuals who are homeless or at-risk of homelessness and are recovering from acute or acute-on-chronic physical health conditions post-discharge from an eligible setting. The federal comment period will be open from November 14, 2025 through December 14, 2025.