NE LB1229

Creates the Rural Health Transformation Fund to receive federal money from the Centers for Medicare and Medicaid Services under Section 71401 of Public Law 119-21 (One Big Beautiful Bill Act)

Restricts fund expenditures solely to purposes authorized by federal law, prohibiting transfers to other state funds or programs by the Legislature or Governor

Requires all applications for federal Rural Health Transformation Program funds to be electronically reported to the Clerk of the Legislature, with annual expenditure reports listing all beneficiaries, awards, and outcomes

Mandates that fund expenditures cannot supplant existing state rural health spending, and requires approved sustainability plans before any money distribution

Declared an emergency measure, taking effect immediately upon passage and approval