# Nebraska LB641: Change provisions relating to medicaid estate recovery

Nebraska LB641, Change provisions relating to medicaid estate recovery, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by Eliot Bostar; status signed, last action 2025-05-20 (Approved by Governor on May 20, 2025); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/NE-LB641-109
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Nebraska LB641
- State: Nebraska
- Session: 109th Legislature 1st and 2nd Sessions
- Title: Change provisions relating to medicaid estate recovery
- Status: signed
- Chamber: legislature
- Introduced: 2025-01-22
- Last action: 2025-05-20, Approved by Governor on May 20, 2025
- Sponsor: Eliot Bostar
- Cosponsors: 0
- Subjects: Judiciary Committee
- Touches household money: yes
- Roll calls: 6 (236 yes, 0 no in all)
- Economic provisions PRIA read: 2

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Home protections for Medicaid family caregivers: benefit, high. The state cannot foreclose on a Medicaid lien against a home when a sibling with an ownership interest lived there at least 1 year before admission and still lives there. It also cannot foreclose when an adult child lived there at least 2 years before admission, still lives there, and provided care…
- Medicaid estate recovery includes assisted living: cost, high. The law treats assisted living as a medical institution for estate recovery. If you got Medicaid at age 55 or older, the state can recover those costs from your estate. It can also recover if you were in a facility and could not reasonably return home. Recovery happens only after you die and your s…

## Sponsors and cosponsors

- Sponsor: Eliot Bostar, Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-14 | legislature | Final Reading | pass | 49 | 0 |   |
| 2025-05-01 | legislature | Vote | fail | 39 | 0 | 10 |
| 2025-05-01 | legislature | Vote | fail | 37 | 0 | 12 |
| 2025-05-01 | legislature | Vote | fail | 37 | 0 | 12 |
|   | legislature | Vote | fail | 37 | 0 | 12 |
|   | legislature | Vote | fail | 37 | 0 | 12 |

## Actions (18)

- 2025-05-20: Approved by Governor on May 20, 2025 (legislature)
- 2025-05-14: Presented to Governor on May 14, 2025 (legislature)
- 2025-05-14: President/Speaker signed (legislature)
- 2025-05-14: Passed on Final Reading 49-0-0 (legislature)
- 2025-05-14: Dispensing of reading at large approved (legislature)
- 2025-05-12: Placed on Final Reading (legislature)
- 2025-05-08: Advanced to Enrollment and Review for Engrossment (legislature)
- 2025-05-07: Placed on Select File (legislature)
- 2025-05-01: Advanced to Enrollment and Review Initial (legislature)
- 2025-05-01: Judiciary AM538 adopted (legislature)
- 2025-05-01: Bostar AM672 adopted (legislature)
- 2025-05-01: Bostar AM672 to AM538 filed (legislature)
- 2025-03-17: Speaker priority bill (legislature)
- 2025-03-13: Judiciary AM538 filed (legislature)
- 2025-03-13: Placed on General File with AM538 (legislature)
- 2025-02-06: Notice of hearing for March 06, 2025 (legislature)
- 2025-01-24: Referred to Judiciary Committee (legislature)
- 2025-01-22: Date of introduction (legislature)

## Bill text

- Introduced, 2025-01-22: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB641.pdf)
- Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB641.pdf)
- Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB641.pdf)

## 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 (failed)
- LB13: Require the Department of Health and Human Services to file a state plan amendment relating to child care (failed)
- LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide for regulation of medical cannabis (failed)
- LB170: Eliminate the sales tax exemptions for candy and soft drinks (failed)
- LB646: Provide an exemption from brand inspections and change fees under the Livestock Brand Act (failed)
- LB714: Change provisions relating to motor vehicle taxes and fees (failed)

## Sources
- [Introduced (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB641.pdf)
- [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB641.pdf)
- [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB641.pdf)

## Related
- [LB468: Change provisions relating to inheritance taxes, change certain fee and tax pro…](https://policyrisk.com/state-bill/NE-LB468-109)
- [LB13: Require the Department of Health and Human Services to file a state plan amendm…](https://policyrisk.com/state-bill/NE-LB13-109)
- [LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide f…](https://policyrisk.com/state-bill/NE-LB677-109)
- [LB170: Eliminate the sales tax exemptions for candy and soft drinks](https://policyrisk.com/state-bill/NE-LB170-109)
- [LB646: Provide an exemption from brand inspections and change fees under the Livestock…](https://policyrisk.com/state-bill/NE-LB646-109)
- [LB714: Change provisions relating to motor vehicle taxes and fees](https://policyrisk.com/state-bill/NE-LB714-109)
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Source: PRIA, https://policyrisk.com/state-bill/NE-LB641-109 (as of 2026-10-17).