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NebraskaLB382109th Legislature 1st and 2nd SessionslegislatureWALLET

Provide for use of the Medicaid Managed Care Excess Profit Fund to reimburse designated area agencies on aging and state intent regarding appropriations

Sponsored By: Glen Meyer

Signed by Governor

Health and Human Services Committee

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 0 costs, 2 mixed.

More health services from Medicaid fund

The Medicaid excess profit fund first covers losses required by law. After that, the fund can pay for care and system fixes under Medicaid, fill service gaps, and support home visiting and medical respite. It can also pay for translation, continuous glucose monitors, prenatal supports, intergenerational care grants, and other services that keep access to care. The Legislature can allow the fund to reimburse the actual costs of eligible aging services.

75% monthly pay for senior services

The Department pays each area agency on aging 75% of its actual cost for eligible services. Payments are made by the 20th of each month. Costs above the department‑approved budget are not paid, and payments are cut proportionally if total requests exceed available funds. The law also states the Legislature’s intent to appropriate $2 million in FY2025‑26 and $2 million in FY2026‑27 from the Medicaid excess profit fund, split equally among eight agencies ($250,000 per agency each year), to add eligible services.

Medicaid fund interest to General Fund

Starting October 1, 2024, interest and investment earnings from the Medicaid excess profit fund go to the state’s General Fund. This moves investment income away from the fund’s programs and into the state’s main budget.

Sponsors & Cosponsors

Sponsor

  • Glen Meyer

    legislature

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 201 • No: 73

legislature vote • 4/24/2026

Vote

Yes: 0 • No: 28 • Other: 21

legislature vote • 4/24/2026

Vote

Yes: 31 • No: 0 • Other: 18

legislature vote • 4/24/2026

Vote

Yes: 27 • No: 7 • Other: 15

legislature vote • 5/28/2025

Final Reading

Yes: 48 • No: 1

legislature vote • 5/8/2025

Vote

Yes: 31 • No: 0 • Other: 18

legislature vote • 4/3/2025

Vote

Yes: 0 • No: 28 • Other: 21

legislature vote • 4/3/2025

Vote

Yes: 27 • No: 7 • Other: 15

legislature vote • 4/3/2025

Vote

Yes: 37 • No: 2 • Other: 10

Actions Timeline

  1. Approved by Governor on May 30, 2025

    6/2/2025legislature

  2. Passed on Final Reading 48-1*-0

    5/28/2025legislature

  3. President/Speaker signed

    5/28/2025legislature

  4. Presented to Governor on May 28, 2025

    5/28/2025legislature

  5. Placed on Final Reading with ST33

    5/12/2025legislature

  6. Enrollment and Review ST33 filed

    5/12/2025legislature

  7. Enrollment and Review ST33 recorded

    5/12/2025legislature

  8. Enrollment and Review ER35 adopted

    5/8/2025legislature

  9. McKinney MO167 withdrawn

    5/8/2025legislature

  10. McKinney MO168 withdrawn

    5/8/2025legislature

  11. McKinney MO169 withdrawn

    5/8/2025legislature

  12. McKinney MO170 withdrawn

    5/8/2025legislature

  13. Meyer AM999 adopted

    5/8/2025legislature

  14. Advanced to Enrollment and Review for Engrossment

    5/8/2025legislature

  15. McKinney MO167 Indefinitely postpone filed

    4/14/2025legislature

  16. McKinney MO168 Recommit to the Health and Human Services Committee filed

    4/14/2025legislature

  17. McKinney MO169 Bracket until June 9, 2025 filed

    4/14/2025legislature

  18. McKinney MO170 Recommit to the Health and Human Services Committee filed

    4/14/2025legislature

  19. Meyer AM999 filed

    4/11/2025legislature

  20. Placed on Select File with ER35

    4/10/2025legislature

  21. Enrollment and Review ER35 filed

    4/10/2025legislature

  22. Cavanaugh, M. MO152 Indefinitely postpone filed

    4/3/2025legislature

  23. Cavanaugh, M. MO152 failed

    4/3/2025legislature

  24. Conrad FA83 filed

    4/3/2025legislature

  25. Conrad FA83 adopted

    4/3/2025legislature

Bill Text

  • Introduced

    6/2/2025

    PDF

  • Enrolled / Slip Law

    PDF

  • Final / Enacted

    PDF

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