Appropriation Bill

109th Legislature (2025-2026) Introduced by Mike Jacobson

Allocates cash and federal funds to DHHS (Programs 344 & 348) to implement LB 527, limited to state aid and not for salaries, effective immediately via emergency clause.

Approved by Governor on April 7, 2025

Summary — LB 527A (Appropriation Bill)

Purpose
- LB 527A is an “A” appropriation bill that provides funding to the Department of Health and Human Services (DHHS) to implement the provisions of Legislative Bill 527 (One Hundred Ninth Legislature, First Session, 2025). The act includes an emergency clause so it takes effect upon approval.

Key provisions
- Appropriates cash and federal funds to DHHS for two program lines (Program 344 and Program 348) explicitly to aid in carrying out LB 527.
- Funds are designated as state aid and are restricted to that purpose.
- Prohibits using any of the appropriated funds for permanent or temporary salaries and per diems for state employees.
- Declares an emergency so the act is effective immediately upon approval.

Funding details (by program and fiscal year)
- Program 344 (to aid LB 527)
- FY2025-26: $5,765,385 from the Medicaid Access and Quality Fund (cash funds) and $12,279,638 federal funds
- FY2026-27: $11,758,984 cash funds and $25,045,347 federal funds
- Amounts are included as state aid and must be used only for state aid.

Program 348 (to aid LB 527)

FY2025-26: $57,392,193 cash funds and $105,013,007 federal funds
FY2026-27: $117,056,172 cash funds and $214,182,801 federal funds
Amounts are included as state aid and must be used only for state aid.

Combined totals

FY2025-26: $63,157,578 (Medicaid Access and Quality Fund) and $117,292,645 (federal)
FY2026-27: $128,815,156 (Medicaid Access and Quality Fund) and $239,228,148 (federal)

Who is affected
- Department of Health and Human Services — recipient and administrator of the funds (Programs 344 and 348).
- Medicaid-related programs, providers, and beneficiaries likely affected indirectly because funds derive from the Medicaid Access and Quality Fund and federal Medicaid-related funds; LB 527’s substantive changes (not contained in this bill text) determine the specific operational impacts.

Timeline and legislative actions
- Introduced: March 11, 2025 (Sen. Jacobson)
- Amendments: Jacobson AM781 filed and adopted March 25, 2025
- Final reading with emergency clause passed March 27 / April 3, 2025 (46-1-2)
- Presented to and approved by Governor: presented April 3, 2025; approved April 7, 2025 (effective upon approval)

Notes
- LB 527A only provides appropriations to implement LB 527; it does not itself detail the policy changes in LB 527. For full understanding of operational and beneficiary impacts, consult the text of LB 527.