They gathered at the Capitol, most in wheelchairs. A group of people with disabilities afraid of losing their right to live independently.
"Nebraskans want to know that the people that are least able to do for themselves physically are cared for with dignity and in a sense of independence and propriety," Steve Walline said.
Walline has lived in a nursing home before. He doesn't want to go back, and he's afraid a pay rate change will force him into an institution.
"We're able to interact with the community, we're involved with people, and we just don't understand why Health and Human Services is trying to spread out a pay structure," Walline said.
Health and Human Services say they are just clarifying a pay rate already in place since 2010. For the first two hours of care, agencies are paid at a higher level, then the rate lowers for the following hours in that day.
But, many clients require multiple short visits throughout the day. Agencies were billing DHHS for each two hour visit at the higher rate, when the second or third visits should have been billed at the lower rate.
"Only two or three home health agencies have been billing incorrectly since the Provider Agreement of 2010." DHHS said.
DHHS says a home health agency sued last year, saying the reimbursement policy did not match what was laid out in their rules and regulations. After a court decision, they are now adding the 2010 policy into the rules and regulations.
"The proposed rules and regulations are not reducing hours of services clients can receive or changing services themselves," DHHS said.