LINCOLN — Advocates for young Nebraskans with autism worry that access to services will take a hit as the state cuts Medicaid reimbursement rates for therapies by a range of 28% to as much as 79%.

“All these kids that have Medicaid will have more difficulty having access to vital treatment that will help them become more independent,” said Cathy Martinez, president of the Autism Family Network in Nebraska.

Tanika Cannon remembers the excruciating pain of labor when she was a teenager, pregnant with her first child. She remembers learning at the hospital that her baby was OK, but the hospital was full. Staff suggested she go to the hospital where her doctor practiced.

The multitrillion-dollar bill that President Donald Trump signed into law on July 4, 2025, will change how the U.S. tax code treats charitable donations. It also has several tax provisions that affect some colleges, universities and other nonprofits. The Conversation U.S. asked Daniel Hungerman, an economist who studies charitable activities and public policy, to explain how these tax policies could influence charitable giving and affect nonprofits.