75-311. Certificates; permits; designation of authority or license; issuance; procedure.

(1)(a) A certificate shall be issued to any qualified applicant authorizing the whole or any part of the operations covered by the application if it is found after notice and hearing that (i) the applicant is fit, willing, and able properly to perform the service proposed and to conform to the provisions of sections 75-301 to 75-322 and the requirements, rules, and regulations of the commission under such sections and (ii) the proposed service, to the extent to be authorized by the certificate, whether regular or irregular, is or will be required by the present or future public convenience and necessity. Otherwise the application shall be denied.

(b) The burden shall be on the applicant to show (i) that they are fit, willing, and able properly to perform the service proposed and to conform to the provisions of sections 75-301 to 75-322 and the requirements, rules, and regulations of the commission and (ii) that the proposed service will be responsive to a public demand or need.

(c) The burden shall be on any protestant to the application to show that (i) existing carriers are currently meeting, or will meet, the proposed need and (ii) even if the applicant's service will be responsive to a public demand or need, the applicant would not be able to serve this need in a specified manner without endangering or impairing the operations of existing carriers contrary to the public interest.

(2)(a) A permit shall be issued to any qualified applicant therefor authorizing in whole or in part the operations covered by the application if it appears after notice and hearing from the application or from any hearing held on the application that (i) the applicant is fit, willing, and able properly to perform the service of a contract carrier by motor vehicle and to conform to the provisions of such sections and the lawful requirements, rules, and regulations of the commission under such sections and (ii) the proposed operation, to the extent authorized by the permit, will be consistent with the public interest by providing services designed to meet the distinct needs of each individual customer or a specifically designated class of customers as described in subdivision (7) of section 75-302. Otherwise the application shall be denied.

(b) Prior to January 1, 2027, for a designation of authority to provide medicaid nonemergency medical transportation services pursuant to a contract with (i) the Department of Health and Human Services, (ii) a medicaid-managed care organization under contract with the department, or (iii) another agent working on the department's behalf as provided under section 75-303.01, in determining whether the authorization will be consistent with the public interest, the commission shall consult with the Director of Medicaid and Long-Term Care of the Division of Medicaid and Long-Term Care of the department or his or her designee.

(3)(a) This subsection applies prior to January 1, 2027.

(b) A designation of authority shall be issued to any regulated motor carrier holding a certificate under subsection (1) of this section or a permit under subsection (2) of this section authorizing such carrier to provide medicaid nonemergency medical transportation services pursuant to a contract with (i) the Department of Health and Human Services, (ii) a medicaid-managed care organization under contract with the department, or (iii) another agent working on the department's behalf as provided under section 75-303.01, if it is found after notice and hearing from the application or from any hearing held on the application that the authorization is or will be required by the present or future convenience and necessity to serve the distinct needs of medicaid clients.

(c) The burden shall be on the applicant to show that the proposed service will be responsive to a public demand or need. The burden shall be on any protestant to the application to show that (i) existing carriers are currently meeting, or will meet, the proposed need and (ii) even if the applicant's service will be responsive to a public demand or need, the applicant would not be able to serve this need in a specified manner without endangering or impairing the operations of existing carriers contrary to the public interest.

(d) In determining whether the authorization is or will be required by the present or future convenience and necessity to serve the distinct needs of medicaid clients, the commission shall consult with the Director of Medicaid and Long-Term Care of the Division of Medicaid and Long-Term Care of the department or his or her designee.

(4)(a) Beginning January 1, 2027, a person shall not engage in intrastate medicaid nonemergency medical transportation services with any of the following prior to being issued a license for such purpose by the commission:

(i) The Department of Health and Human Services;

(ii) A medicaid-managed care organization under contract with the Department of Health and Human Services; or

(iii) Any agent working on behalf of the Department of Health and Human Services.

(b) Any person may apply to the commission for a license to engage in intrastate medicaid nonemergency medical transportation services on a form prescribed by the commission. The commission may approve any such application if the commission determines that the applicant meets the following qualifications:

(i) The applicant is fit, willing, and able to properly perform intrastate medicaid nonemergency medical transportation services; and

(ii)(A) If the applicant is not a transportation network company, the applicant is able to conform to sections 75-301 to 75-322 and the rules and regulations that are adopted and promulgated by the commission under such sections; or

(B) If the applicant is a transportation network company, the applicant is able to conform to sections 75-323 to 75-342 and the rules and regulations that are adopted and promulgated by the commission under such sections.

(c) Prior to issuing a license to engage in intrastate medicaid nonemergency medical transportation services, the commission may hold a hearing to determine if the applicant meets the qualifications described in subdivision (b) of this subsection.

(d) A license to engage in intrastate medicaid nonemergency medical transportation services is valid for one year. Any such license may be renewed annually.

(e) The fee for a license or renewal of a license shall be established by the commission, but shall not exceed two hundred fifty dollars. Such fee shall accompany the application for such license or renewal of such license.

(f)(i) The commission may suspend or revoke any license to engage in intrastate medicaid nonemergency medical transportation services of any:

(A) Motor carrier that does not comply with section 75-307;

(B) Transportation network company that does not comply with sections 75-332 to 75-341; or

(C) Any motor carrier or transportation network company that does not comply with any applicable rule or regulation that is adopted and promulgated by the commission or any applicable lawful order of the commission.

(ii) Any such suspension or revocation is not valid unless the commission:

(A) Provides to such person a written notice that describes such suspension or revocation. Such written notice shall be provided at least fifteen days prior to the hearing described in subdivision (f)(ii)(B) of this subsection; and

(B) Holds a hearing to determine if such license shall be suspended or revoked. Such person is not required to be present at the hearing.

(g) Except for a transportation network company holding a permit under section 75-324, any person that is issued a license to engage in intrastate medicaid nonemergency medical transportation services shall comply with section 75-307.

(5) Subsections (1) through (3) of this section shall not apply to transportation network companies holding a permit under section 75-324 or operations pursuant to a contract authorized by sections 75-303.02 and 75-303.03.

Source:Laws 1963, c. 425, art. III, § 11, p. 1381; Laws 1969, c. 606, § 6, p. 2471; Laws 1972, LB 1370, § 2; Laws 1974, LB 438, § 2; Laws 1989, LB 78, § 25; Laws 1990, LB 980, § 27; Laws 1993, LB 412, § 10; Laws 1994, LB 414, § 74; Laws 1995, LB 424, § 38; Laws 1996, LB 1218, § 50; Laws 2011, LB112, § 3; Laws 2015, LB629, § 30; Laws 2017, LB263, § 87; Laws 2020, LB461, § 12; Laws 2025, LB311, § 14; Laws 2026, LB1126, § 94.
Effective Date: July 18, 2026

Annotations