---
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).