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LB 527 Legislature · 109th Legislature (2025-2026)

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

LB 527 creates a Medicaid Access and Quality Fund by imposing a 6% tax on certain health insurance premiums starting January 2026. The fund will increase payments to nonhospital Medicaid providers (like clinics and doctors) to improve access to care, especially for rural patients, pregnant women, and children. It also allocates $75 monthly per patient to primary care providers who serve as medical homes for Medicaid beneficiaries. This directly affects Nebraska Medicaid beneficiaries, healthcare providers, and insurance companies paying the tax.
Issues: ✓ Budget & TaxesSupports Budget & TaxesImposes 6% tax on insurers to fund Medicaid provider payments and rural care access, directly increasing state budget allocation for healthcare services.95% confidence ✓ HealthcareSupports HealthcareCreates Medicaid Access Fund via 6% tax on insurers to boost provider payments, improving access for rural/pregnant/child patients. Directly funds and strengthens Medicaid coverage.95% confidence
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
Legislature Passage
Apr 2025
Legislature Passage
Feb 2025
Signed into Law
Apr 2025
Introduced Jan 22, 2025 Signed Apr 8, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

Introduced → Enrollment and Review ER13 Jacobson AM373 · 3 edits
MINOR
The bill was amended to add a new enrollment and review designation (ER13) and updated the title page information, while the substantive content of the Medicaid Access and Quality Act remained largely unchanged. The core provisions establishing a tax on health maintenance organizations and funding for Medicaid rate enhancements were preserved in the amended version.
Scope change
The bill's scope remains focused on Medicaid reimbursement rates and health care access in Nebraska, with no substantive changes to the policy provisions themselves.
TECHNICAL

Added ER13 designation and updated title page information to reflect enrollment and review status with Jacobson AM373.

Changed the legislative finding section header from 'ONE HUNDRED NINTH LEGISLATURE' to 'E AND R AMENDMENTS TO LB 527'.

Updated sponsor information from 'Introduced by Jacobson, 42' to 'Introduced by Guereca, 7, Chairman Enrollment and Review'.

Floor votes · Legislature Feb 11, 2025

How they voted

39–0
Passed · 10 other
Total votes 49
Feb 11, 2025
N Nonpartisan49
39 Yea 10
79% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
7
Committee
2
Apr 8, 2025
Signed into law
Approved by Governor on April 7, 2025
executive
Apr 3, 2025
Legislature · Passed
President/Speaker signed
legislature
Apr 3, 2025
Legislature · Passed
Passed on Final Reading with Emergency Clause 47-0-2
legislature
Feb 28, 2025
Legislature · Passed
Jacobson AM373 adopted
legislature
Feb 28, 2025
Legislature · Passed
Enrollment and Review ER13 adopted
legislature
Feb 11, 2025
Legislature · Passed
Banking, Commerce and Insurance AM137 adopted
legislature
Feb 6, 2025
Legislature · Passed
Placed on General File with AM137
legislature
Jan 24, 2025
Committee
Referred to Banking, Commerce and Insurance Committee
legislature
Jan 22, 2025
Introduced
Date of introduction
legislature
1 primary · 1 co-sponsor

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mike Jacobson
Mike Jacobson
NNonpartisan
NE
42
Co
Photo of Machaela Cavanaugh
Machaela Cavanaugh
NNonpartisan
NE
6