All Roll Calls
Yes: 238 • No: 0
NebraskaLB527109th Legislature 1st and 2nd Sessionslegislature
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
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
New 6% HMO tax funds Medicaid
Beginning January 1, 2026, HMOs pay a 6% tax on non‑Medicare premiums, and the Director of Insurance sets the collection schedule. This tax is on top of the general premium tax, and some economic development credits cannot offset it. All receipts go to the Medicaid Access and Quality Fund. Medicaid capitation payments are excluded from the taxable base. Prepaid limited health service organizations are taxed like HMOs and may claim the same deductions and credits.
More Medicaid payments and primary care homes
The law creates the Medicaid Access and Quality Fund and keeps its interest in the fund. Starting January 1, 2026, $40 million a year raises Medicaid rates for nonhospital physical‑health providers. The boosts focus on evaluation and management, labor and delivery, and rural counties under 100,000 people. The money cannot replace current state dollars and DHHS works with a statewide 501(c)(6) provider group. Starting January 1, 2027, $5 million a year pays at least $75 per month for each member in a qualified primary care medical home. Any money left goes to Medicaid and CHIP to draw federal match. DHHS must file federal approvals by August 1, 2025 and can adopt rules to run the program.
Sponsors & Cosponsors
Sponsor
Mike Jacobson
Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
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
legislature vote • Unknown
Vote
Yes: 37 • No: 0 • Other: 12
legislature vote • Unknown
Vote
Yes: 39 • No: 0 • Other: 10
Actions Timeline
Approved by Governor on April 7, 2025
4/7/2025legislaturePresented to Governor on April 3, 2025
4/3/2025legislaturePresident/Speaker signed
4/3/2025legislaturePassed on Final Reading with Emergency Clause 47-0-2
4/3/2025legislatureDispensing of reading at large approved
4/3/2025legislaturePlaced on Final Reading
3/10/2025legislatureAdvanced to Enrollment and Review for Engrossment
2/28/2025legislatureJacobson AM373 adopted
2/28/2025legislatureEnrollment and Review ER13 adopted
2/28/2025legislatureJacobson AM373 to ER13 filed
2/27/2025legislatureEnrollment and Review ER13 filed
2/19/2025legislaturePlaced on Select File with ER13
2/19/2025legislatureCavanaugh, M. name added
2/11/2025legislatureAdvanced to Enrollment and Review Initial
2/11/2025legislatureBanking, Commerce and Insurance AM137 adopted
2/11/2025legislatureBanking, Commerce and Insurance AM137 filed
2/6/2025legislaturePlaced on General File with AM137
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
1/22/2025
Enrolled / Slip Law
Final / Enacted
Related Bills
LB468, Change provisions relating to inheritance taxes, change certain fee and tax provisions, and eliminate a sales tax exemption relating to data centers
LB13, Require the Department of Health and Human Services to file a state plan amendment relating to child care
LB677, Change provisions of the Nebraska Medical Cannabis Regulation Act and provide for regulation of medical cannabis
LB646, Provide an exemption from brand inspections and change fees under the Livestock Brand Act
LB170, Eliminate the sales tax exemptions for candy and soft drinks
LB714, Change provisions relating to motor vehicle taxes and fees