Contract 115276

The Nebraska Department of Health and Human Services, Division of Public Health, Office of Rural Health, has awarded a loan repayment assistance contract to Breanna N. Fiene, a Nurse Practitioner, under the authority of the Nebraska Rural Health Systems and Professional Incentive Act. The contract, executed on February 1, 2026, provides education debt repayment services totaling $31,262.52 over a three-year performance period ending January 31, 2029. Ms. Fiene will receive quarterly distributions of $2,605.22 contingent upon verification of her clinical practice in Holt County, Nebraska, an approved healthcare shortage area, where she will deliver Family Medicine services with a minimum commitment of 160 hours per month.

West Holt Memorial Hospital serves as the local entity partner, providing matching funds to the state in annual increments: $2,171.01 in Year 1, and $5,210.44 in each of Years 2 and 3, with a final payment of $3,039.37 in Year 4. Under the agreement terms, Ms. Fiene is required to accept Medicaid patients and cash or deposit loan repayment checks within sixty days of issuance. Discontinuation of approved practice triggers a repayment obligation of 150 percent of received funds plus 8 percent simple interest annually, with monthly repayment commencing within three months of practice cessation.