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Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/ne/109/lb-527.md

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+---
+type: "Bill"
+title: "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"
+description: "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"
+jurisdiction: "us/states/ne"
+legislature: "Nebraska Legislature"
+session: "109"
+identifier: "LB 527"
+citation: "Nebraska LB 527 (109)"
+classification: ["bill"]
+subjects: []
+status: "enacted"
+primary_sponsors: ["Jacobson"]
+version_count: 6
+action_count: 20
+vote_count: 4
+first_action: "2025-01-22"
+last_action: "2025-04-08"
+source: "openstates"
+source_identifier: "ocd-bill/c2c55f54-10f4-4787-9066-3875ba0ec9bf"
+source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2025"
+source_hash: "266ffcdab77df4647fc35fa2c3a915e9b0fe6f8bcafcf891252719cbf63e267e"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-ne"]
+---
+
+# Nebraska LB 527 (109) — 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
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Introduced** (filed) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB527.pdf)
+2. **Banking, Commerce and Insurance AM137** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM137.pdf)
+3. **Enrollment and Review ER13 Jacobson AM373** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/ER13.pdf)
+4. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB527.pdf)
+5. **Jacobson AM373** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM373.pdf)
+6. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB527.pdf)
+
+## Votes
+
+- Passed on Final Reading with Emergency Clause 47-0-2 — **47–0** (pass) · legislature
+- Banking, Commerce and Insurance AM137 adopted — **39–0** (fail) · legislature
+- Advanced to Enrollment and Review Initial — **39–0** (pass) · legislature
+- Jacobson AM373 adopted — **37–0** (fail) · legislature
+
+## Sponsors
+
+- Jacobson — primary (person)
+- Cavanaugh, M. — cosponsor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2025-04-08** Approved by Governor on April 7, 2025 `executive-signature`
+- **2025-04-03** Presented to Governor on April 3, 2025 `executive-receipt`
+- **2025-04-03** President/Speaker signed `passage`
+- **2025-04-03** Passed on Final Reading with Emergency Clause 47-0-2 `passage`
+- **2025-04-03** Dispensing of reading at large approved
+- **2025-03-10** Placed on Final Reading `reading-3`
+- **2025-02-28** Advanced to Enrollment and Review for Engrossment
+- **2025-02-28** Jacobson AM373 adopted
+- **2025-02-28** Enrollment and Review ER13 adopted
+- **2025-02-27** Jacobson AM373 to ER13 filed `filing`
+- **2025-02-19** Enrollment and Review ER13 filed `filing`
+- **2025-02-19** Placed on Select File with ER13 `filing`
+- **2025-02-11** Cavanaugh, M. name added
+- **2025-02-11** Advanced to Enrollment and Review Initial
+- **2025-02-11** Banking, Commerce and Insurance AM137 adopted
+- **2025-02-06** Banking, Commerce and Insurance AM137 filed `filing`
+- **2025-02-06** Placed on General File with AM137 `committee-passage`
+- **2025-01-27** Notice of hearing for February 04, 2025
+- **2025-01-24** Referred to Banking, Commerce and Insurance Committee `referral-committee`
+- **2025-01-22** Date of introduction `introduction`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c2c55f54-10f4-4787-9066-3875ba0ec9bf`. Confidence: reported (aggregated from official Nebraska legislature records).
+