One Hundred Ninth Legislature - First Session - 2025
Introducer€s Statement of Intent
LB527
€
Chairperson: Senator Mike Jacobson
Committee: Banking, Commerce and Insurance
Date of Hearing: February 04, 2025
€
The following constitutes the reasons for this bill and the purposes which are sought to be
accomplished thereby:
LB527, the Medicaid Access and Quality Act, provides for the Department of Insurance to
collect a six percent tax on non-Medicare premiums written under a health maintenance
organization (HMO) certificate of authority. The Act creates the Medicaid Access and
Quality Fund. Revenue generated by the tax on HMO non-Medicare premiums will be
remitted to the Medicaid Access and Quality Fund to be used by the Department of Health
and Human Services, upon federal approval, for the following purposes:
(1) To obtain federal matching funds to enhance Medicaid reimbursement rates paid to
nonhospital providers of physical health services. The rate enhancements should aim to
improve access to care through increasing rates across a broad range of physical health
services, with an emphasis on evaluation and management services, labor and delivery
services, and rural services.
(2) To pay a monthly per-member fee of at least $75 to qualified primary care providers who
meet criteria to serve as a primary care medical home for target populations.
(3) To use any remaining funds within the Medicaid and CHIP programs.
€
Principal Introducer:________________________________
Senator Mike Jacobson
- 1 -