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NebraskaLB527A109th Legislature 1st and 2nd SessionslegislatureWALLET

Appropriation Bill

Sponsored By: Mike Jacobson

Signed by Governor

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Bill Overview

Analyzed Economic Effects

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

More Medicaid access and provider pay

The law creates the Medicaid Access and Quality Fund. Starting January 1, 2026, $40 million a year raises Medicaid rates for nonhospital physical health providers. It focuses on evaluation and management, labor and delivery, and rural care. These dollars cannot replace existing state funds. Starting January 1, 2027, qualifying primary care medical homes get at least $75 per member each month. Medicaid practitioner fee schedule rates and state support cannot go below July 1, 2024 levels. The Department must file federal plan changes by August 1, 2025 and may set rules. Any leftover fund money goes to Medicaid and CHIP. All uses require federal approval.

New 6% premium tax on HMOs

Beginning January 1, 2026, HMOs pay a 6% tax on non‑Medicare premiums written in Nebraska. This tax is on top of the state's general insurance premium tax. Capitation payments under the Medical Assistance Act are not taxed. Prepaid limited health service organizations are taxed the same and get the same credits. All tax revenue goes to the Medicaid Access and Quality Fund.

Sponsors & Cosponsors

Sponsor

  • Mike Jacobson

    legislature

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 151 • No: 1

legislature vote • 4/24/2026

Vote

Yes: 33 • No: 0 • Other: 16

legislature vote • 4/3/2025

Final Reading

Yes: 46 • No: 1 • Other: 2

legislature vote • 3/25/2025

Vote

Yes: 33 • No: 0 • Other: 16

legislature vote • 3/12/2025

Vote

Yes: 39 • No: 0 • Other: 10

Actions Timeline

  1. Approved by Governor on April 7, 2025

    4/8/2025legislature

  2. Passed on Final Reading with Emergency Clause 46-1-2

    4/3/2025legislature

  3. President/Speaker signed

    4/3/2025legislature

  4. Presented to Governor on April 3, 2025

    4/3/2025legislature

  5. Placed on Final Reading

    3/27/2025legislature

  6. Jacobson AM781 filed

    3/25/2025legislature

  7. Jacobson AM781 adopted

    3/25/2025legislature

  8. Advanced to Enrollment and Review for Engrossment

    3/25/2025legislature

  9. Placed on Select File

    3/19/2025legislature

  10. Advanced to Enrollment and Review Initial

    3/12/2025legislature

  11. Date of introduction

    3/11/2025legislature

  12. Placed on General File

    3/11/2025legislature

Bill Text

  • Introduced

    4/8/2025

    PDF

  • Enrolled / Slip Law

    PDF

  • Final / Enacted

    PDF

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