LINCOLN, Neb. (AP) — A new coalition of Nebraska lawmakers is considering options for expanding Medicaid that could gain majority support in the Legislature, which has rejected similar measures three times in as many years.

Supporters of the effort quietly convened last week for a “listening session” to hear concerns and questions about Medicaid and the Affordable Care Act from fellow lawmakers. They also are reaching out to chambers of commerce and hospital groups for evidence of the potential business impact on Nebraska. A second listening session is scheduled for October.

Sen. John McCollister of Omaha says he is looking at expansion combined with other reforms that could lower costs, such as incentives for healthier lifestyles. Nebraska is among 19 states that hasn’t expanded Medicaid.