All Roll Calls
Yes: 151 • No: 0
NebraskaLB41A109th Legislature 1st and 2nd SessionslegislatureWALLET
Appropriation Bill
Sponsored By: Merv Riepe
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 2 benefits, 0 costs, 1 mixed.
Medicaid now funds some syphilis tests
For Medicaid members, when a syphilis blood test was not covered before this law, its cost is paid from a state fund and federal funds. The state uses the Medicaid Managed Care Excess Profit Fund along with federal money. This lowers out-of-pocket costs for those tests.
Prenatal syphilis and HIV testing rules
The law requires your provider to test for syphilis at your first prenatal visit, again in the third trimester, and at birth. Samples must be sent to an approved lab. You must be told these tests are voluntary, and you may decline verbally or in writing. For HIV, the test is not given if you sign a written refusal. Labs and doctors must report results to the Nebraska Department of Health and Human Services on standard forms. For each birth or stillbirth, the medical part of the certificate must state if a syphilis test was done and the sample date, but not the result; if no test was done, the reason must be given.
State lab testing with capped fees
The state health lab will run the required prenatal syphilis tests if asked. The department can charge a fee, but it cannot be more than the test’s actual cost. Fees are deposited in the Health and Human Services Cash Fund. Patients without insurance may be charged this fee.
Sponsors & Cosponsors
Sponsor
Merv Riepe
legislature
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/24/2026
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • 4/3/2025
Final Reading
Yes: 47 • No: 0 • Other: 2
legislature vote • 3/25/2025
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • 3/25/2025
Vote
Yes: 38 • No: 0 • Other: 11
Actions Timeline
Approved by Governor on April 9, 2025
4/10/2025legislaturePassed on Final Reading 47-0-2
4/3/2025legislaturePresident/Speaker signed
4/3/2025legislaturePresented to Governor on April 3, 2025
4/3/2025legislaturePlaced on Final Reading
4/1/2025legislatureAdvanced to Enrollment and Review for Engrossment
3/28/2025legislaturePlaced on Select File
3/27/2025legislatureRiepe AM739 adopted
3/25/2025legislatureAdvanced to Enrollment and Review Initial
3/25/2025legislatureRiepe AM739 filed
3/20/2025legislatureDate of introduction
3/12/2025legislaturePlaced on General File
3/12/2025legislature
Bill Text
Introduced
4/10/2025
Enrolled / Slip Law
Final / Enacted