Nebraska 109th Legislature (2025-2026) Status: Enacted

LB 312 — Include nurse anesthesia practice and dietitian nutrition practice under the Rural Health Systems and Professional Incentive Act

Last action — Provisions/portions of LB553 amended into LB312 by AM591

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Legislature
  4. ✓
    To Executive
  5. 5
    Enacted

This bill has been enacted into law. Introduced January 16, 2025. Enacted.

Signed by Governor Jim Pillen (Republican) on April 08, 2025.

Prognosis

Advancing 54% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Mixed recorded votes

    2 passed, 1 failed in recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

168 added · 188 removed

Plain-language change summary

The recently amended bill LB 312 now includes the addition of an approved mental health practice program as one of the eligible fields for student loans under the Rural Health Systems and Professional Incentive Act. This change is significant because it expands the support available to students pursuing careers in mental health, addressing an important area of need in rural healthcare. By broadening the eligibility criteria, the bill aims to attract more professionals to vital health services in underserved areas.

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LB312 LB312 2025 LEGISLATURE OF NEBRASKA ONE HUNDRED NINTH LEGISLATURE FIRST SESSION LEGISLATIVE BILL 312 FINAL READING   Introduced by S40;
LB312 LB312 2025 LEGISLATIVE BILL 312 Approved by the Governor April 7, 2025   Introduced by Strommen, 47;
Ballard, 21;
Clouse, 37;
DeBoer, 10;
DeKay, 40;
Holdcroft, 36;y, Ibach, 44;
Holdcroft, 36;
Ibach, 44;
Read first time January 16, 2025 Committee:
  A BILL FOR AN ACT relating to the Rural Health Systems and Professional Incentive Act;
Health and Human Services A BILL FOR AN ACT relating to the Rural Health Systems and Professional Incentive Act;
Be it enacted by the people of the State of Nebraska, -1- LB312 LB312 2025 Section 1.
Be it enacted by the people of the State of Nebraska, Section 1.
71-5662 (1) To be eligible for a student loan under the Rural Health Systems and Professional Incentive Act, an applicant or a recipient shall be enrolled or accepted for enrollment in any of the following an accredited programs in Nebraska:
71-5662 (1) To be eligible for a student loan under the Rural Health Systems and Professional Incentive Act, an applicant or a recipient shall be enrolled or accepted for enrollment in any of the following an accredited programs in Nebraska:
, -2- LB312 LB312 2025 (c) Not not be enrolled in a residency program;
, (c) Not not be enrolled in a residency program;
(3) The amount of financial assistance provided by the state through loan repayments pursuant to the act (a) for physicians, psychiatrists, dentists, and psychologists shall be limited to thirty thousand dollars per recipient per year of full-time practice in a designated health profession shortage area and, except as provided in subdivision (4)(c) of this section, shall not exceed ninety thousand dollars per recipient and (b) for physician assistants, nurse practitioners, nurse anesthetists, pharmacists, physical therapists, occupational therapists, dietitian nutritionists, and mental health practitioners shall be limited to fifteen thousand dollars per recipient per year of full-time practice in a designated health profession shortage area and, except as provided in -3- LB312 LB312 2025 subdivision (4)(c) of this section, shall not exceed forty-five thousand dollars per recipient.
(3) The amount of financial assistance provided by the state through loan repayments pursuant to the act (a) for physicians, psychiatrists, dentists, and psychologists shall be limited to thirty thousand dollars per recipient per year of full-time practice in a designated health profession shortage area and, except as provided in subdivision (4)(c) of this section, shall not exceed ninety thousand dollars per recipient and (b) for physician assistants, nurse practitioners, nurse anesthetists, pharmacists, physical therapists, occupational therapists, dietitian nutritionists, and mental health practitioners shall be limited to fifteen thousand dollars per recipient per year of full-time practice in a designated health profession shortage area and, except as provided in subdivision (4)(c) of this section, shall not exceed forty-five thousand dollars per recipient.
(4)(a) The total amount of financial assistance provided through student loans for a doctorate-level mental health student or master's level mental health student shall be the full amount of such loans for a person who practices psychiatry, psychology, or mental health practice:
-1- LB312 LB312 2025 (4)(a) The total amount of financial assistance provided through student loans for a doctorate-level mental health student or master's level mental health student shall be the full amount of such loans for a person who practices psychiatry, psychology, or mental health practice:
Section 71-5665, Revised Statutes Cumulative Supplement, -4- LB312 LB312 2025 2024, is amended to read:
Section 71-5665, Revised Statutes Cumulative Supplement, 2024, is amended to read:
(1) The loan repayment recipient agrees to practice his or her profession, and a physician, psychiatrist, dentist, nurse practitioner, nurse anesthetist, dietitian nutritionist, or physician assistant also agrees to practice an approved specialty, in a designated health profession shortage area for at least three years, or the period required -5- LB312 LB312 2025 by subdivision (4)(c) of section 71-5663, and to accept medicaid patients in his or her practice;
(1) The loan repayment recipient agrees to practice his or her profession, and a physician, psychiatrist, dentist, nurse practitioner, nurse anesthetist, dietitian nutritionist, or physician assistant also agrees to practice an approved specialty, in a designated health profession shortage area for at least three years, or the period required by subdivision (4)(c) of section 71-5663, and to accept medicaid patients in his or her practice;
(5) For a loan repayment recipient seeking benefits under subdivision (4)(c) of section 71-5663, the recipient agrees to such other -6- LB312 LB312 2025 terms as the department deems appropriate;
(5) For a loan repayment recipient seeking benefits under subdivision (4) -2- LB312 LB312 2025 (c) of section 71-5663, the recipient agrees to such other terms as the department deems appropriate;
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Action History

  1. Provisions/portions of LB553 amended into LB312 by AM591

  2. Approved by Governor on April 7, 2025

  3. Dispensing of reading at large approved

  4. Passed on Final Reading 46-1*-2

  5. President/Speaker signed

  6. Presented to Governor on April 3, 2025

  7. Placed on Final Reading with ST12

  8. Enrollment and Review ST12 filed

  9. Enrollment and Review ST12 recorded

  10. Riepe AM591 filed

  11. Riepe AM591 adopted

  12. Advanced to Enrollment and Review for Engrossment

  13. Placed on Select File

  14. Advanced to Enrollment and Review Initial

  15. Placed on General File

  16. Notice of hearing for February 07, 2025

  17. Referred to Health and Human Services Committee

  18. Date of introduction

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 48 not signed on · 1 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (48)

48 members have not signed on to this bill.

Show all 48 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 46 Yea · 1 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 46102
Total 46102
% of votes cast 94%2%0%4%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Nay
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Yea
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Not Voting
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Riepe AM591 adopted

Failed 38 Yea · 0 Nay · 11 Other
Party YeaNayPresentNot Voting
Unaffiliated 380011
Total 380011
% of votes cast 78%0%0%22%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Not Voting
Ben Hansen — Yea
Bob Andersen — Not Voting
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Not Voting
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Not Voting
Stan Clouse — Not Voting
Tanya Storer — Yea
Teresa Ibach — Not Voting
Terrell McKinney — Not Voting
Tom Brandt — Not Voting
Tony Sorrentino — Not Voting
Victor Rountree — Not Voting
Wendy DeBoer — Yea

Official roll call →

Passed 43 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 43006
Total 43006
% of votes cast 88%0%0%12%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Not Voting
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
George Dungan — Not Voting
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors LB 312?
LB 312 is sponsored by Paul Strommen.
What is the current status of LB 312?
This bill has been enacted into law. Introduced January 16, 2025. Enacted.
Where can I track LB 312?
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