This Note first presents the factual background of the caretaker relative medical assistance program in Nebraska and the factual background and procedural history of Clemens v. Harvey. Next, this Note analyzes the Nebraska Supreme Court’s holding that statutes adopted by reference are not altered when the original statutes are changed. It examines whether changes are needed in Nebraska’s approach to adopting legislation by reference and concludes that the clarity of the court’s approach eliminates a need for change. Then, this Note examines what the court’s refusal in Clemens to uphold a Department of Social Services regulation reveals of the law on: 1) whether the legislature can adopt by reference future acts of Congress; 2) how much disc...