LB 774 Legislature · 109th Legislature (2025-2026)

Create the Rural Health Transformation Program Fund to be administered by the Department of Health and Human Services

LB 774 creates a dedicated fund within Nebraska's Department of Health and Human Services to manage federal funds from the Centers for Medicare and Medicaid Services (CMS) for the Rural Health Transformation Program. The fund directly supports rural Nebraska communities by providing resources to improve healthcare delivery systems, increase access to care, and enhance health outcomes. Key provisions require the Department to administer the fund using federal CMS dollars, invest unspent funds per state investment laws, and submit annual electronic reports to the Legislature detailing fund usage and results. This bill establishes a structured mechanism for utilizing federal health funding to address rural healthcare challenges.
Bill status died 3 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
Legislature Passage
Jan 2026
Governor
Introduced Jan 7, 2026 Last action Jan 26, 2026
Floor votes · Legislature Jan 26, 2026

How they voted

440
Passed · 5 other
Total votes 49
Jan 26, 2026
N Nonpartisan49
44 Yea 5
89% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
1
Committee
1
Jan 26, 2026
Legislature · Passed
Legislature Vote: pass (44-0-5)
legislature
Jan 9, 2026
Committee
Referred to Appropriations Committee
legislature
Jan 7, 2026
Introduced
Date of introduction
legislature
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Machaela Cavanaugh
Machaela Cavanaugh
NNonpartisan
NE
6