All Roll Calls
Yes: 238 • No: 0
NebraskaLB527109th Legislature 1st and 2nd SessionslegislatureWALLET
Adopt the Medicaid Access and Quality Act and change provisions relating to taxes on health maintenance organizations, prepaid limited health service organizations, and insurance companies
Sponsored By: Mike Jacobson
Signed by Governor
Banking, Commerce and Insurance Committee
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
More Medicaid pay for nonhospital care
The state creates the Medicaid Access and Quality Fund and keeps its interest in the fund. Starting January 1, 2026, $40 million a year is used to get federal match and raise Medicaid rates for nonhospital physical health providers. The state cannot use this money to replace current funding. DHHS must file for federal approvals by August 1, 2025 and can set rules to run the program. Medicaid practitioner rates and state funding cannot drop below the amounts published on July 1, 2024.
New premium taxes on HMOs and prepaid plans
Beginning January 1, 2026, HMOs that sell non‑Medicare plans pay a 6% tax on those premiums. This new tax is on top of the existing insurance premium tax. Capitation payments under the Medical Assistance Act are not counted in the taxable premium base. Prepaid limited health service organizations are taxed the same way and get the same tax breaks. The Director of Insurance sets the collection schedule by January 1, 2026, and all receipts go to the Medicaid Access and Quality Fund.
Immediate effect and cleanup of old laws
The law takes effect when it is passed and approved because an emergency is declared. It also repeals older statute sections that this act replaces.
Sponsors & Cosponsors
Sponsor
Mike Jacobson
legislature
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/24/2026
Vote
Yes: 37 • No: 0 • Other: 12
legislature vote • 4/24/2026
Vote
Yes: 39 • No: 0 • Other: 10
legislature vote • 4/3/2025
Final Reading
Yes: 47 • No: 0 • Other: 2
legislature vote • 2/28/2025
Vote
Yes: 37 • No: 0 • Other: 12
legislature vote • 2/11/2025
Vote
Yes: 39 • No: 0 • Other: 10
legislature vote • 2/11/2025
Vote
Yes: 39 • No: 0 • Other: 10
Actions Timeline
Approved by Governor on April 7, 2025
4/8/2025legislatureDispensing of reading at large approved
4/3/2025legislaturePassed on Final Reading with Emergency Clause 47-0-2
4/3/2025legislaturePresident/Speaker signed
4/3/2025legislaturePresented to Governor on April 3, 2025
4/3/2025legislaturePlaced on Final Reading
3/10/2025legislatureEnrollment and Review ER13 adopted
2/28/2025legislatureJacobson AM373 adopted
2/28/2025legislatureAdvanced to Enrollment and Review for Engrossment
2/28/2025legislatureJacobson AM373 to ER13 filed
2/27/2025legislaturePlaced on Select File with ER13
2/19/2025legislatureEnrollment and Review ER13 filed
2/19/2025legislatureBanking, Commerce and Insurance AM137 adopted
2/11/2025legislatureAdvanced to Enrollment and Review Initial
2/11/2025legislatureCavanaugh, M. name added
2/11/2025legislaturePlaced on General File with AM137
2/6/2025legislatureBanking, Commerce and Insurance AM137 filed
2/6/2025legislatureNotice of hearing for February 04, 2025
1/27/2025legislatureReferred to Banking, Commerce and Insurance Committee
1/24/2025legislatureDate of introduction
1/22/2025legislature
Bill Text
Introduced
4/8/2025
Enrolled / Slip Law
Final / Enacted