Provide a duty to implement a prior authorization application programming interface under the Utilization Review Act

Nebraska's LB 467 requires health insurance companies and review organizations to create a digital connection (API) for prior authorization requests by January 1, 2028, under the state's Utilization Review Act. This applies to most healthcare services except drug coverage requests, which are excluded per the bill's definition. The law harmonizes with existing federal rules (45 C.F.R. 156.223) as they existed in 2025. The bill directly affects insurers and review entities operating in Nebraska, streamlining how they process authorization requests electronically.