Healthcare (Insurance)

died · Nebraska · Legislature Apr 17, 2026

LB 1144: Redefine a term and provide requirements for entities issuing health plans under the Medical Assistance Act

LB 1144 amends Nebraska's Medical Assistance Act to clarify definitions and set new requirements for health insurance companies and employer-run health plans (self-funded plans). It requires these entities to share specific coverage information with the state's medical assistance department within 30 days when requested, for verifying eligibility or coordinating benefits. The bill also mandates that insurers cannot deny claims submitted by the department if filed within three years of service, as long as enforcement begins within six years. This directly affects health insurers, self-funded employers, and the state department managing medical assistance programs.

Topics ✓ HealthcareSupports HealthcareMandates insurers to share coverage info for eligibility verification and prohibits claim denials within 3 years, improving access and coordination under Medical Assistance Act.90% confidence

Sub-Topics Insurance

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died · Nebraska · Legislature Apr 17, 2026

LB 639: Require dental plan carriers to meet a minimum dental loss ratio and provide a report

LB 639 requires dental insurance companies in Nebraska to spend at least 85% of premium revenue on patient care and administrative costs (not profits). Starting in 2026, these companies must meet this "dental loss ratio" and report their annual ratio to the state insurance department starting in 2027. If they fail to meet the 85% threshold, they must refund the excess premiums directly to policyholders. The bill does not apply to dental coverage provided through Medicaid.

Topics ✓ HealthcareSupports HealthcareRequires dental insurers to spend 85% of premiums on patient care (not profits), refunding excess premiums if threshold unmet, strengthening consumer protection in healthcare insurance coverage.95% confidence

Sub-Topics Insurance Medicaid

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died · Nebraska · Legislature Apr 17, 2026

LR 25CA: Constitutional amendment to change the compensation of members of the Legislature and provide for health insurance

This Nebraska constitutional amendment (LR 25CA) would change how state legislators are paid and covered. Starting January 6, 2027, legislators would receive the state minimum wage instead of the current $1,000 monthly salary. It also requires the state to provide health insurance with benefits matching Medicaid coverage for all legislators. The amendment must be approved by voters in the November 2026 election to take effect.

Topics ✓ HealthcareSupports HealthcareMandates Medicaid-level health insurance for legislators, expanding coverage standards per bill's requirement for state-provided benefits matching Medicaid.90% confidence

Sub-Topics Insurance Medicaid

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died · Nebraska · Legislature Apr 17, 2026

LB 467: 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.

Topics ✓ HealthcareSupports HealthcareRequires insurers to implement digital prior authorization API, improving provider access to care and reducing administrative delays for most healthcare services.90% confidence

Sub-Topics Insurance

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died · Nebraska · Legislature Apr 17, 2026

LB 68: Provide insurance and medicaid coverage for certain contraceptives

This bill requires most health insurance plans and Nebraska's Medicaid program (medical assistance) to cover FDA-approved self-administered hormonal contraceptives without cost-sharing. It mandates coverage for up to a 3-month supply for the first prescription and up to a 12-month supply for subsequent refills, regardless of when the policyholder enrolled. The law prevents insurers from charging extra if someone switches contraceptive methods before finishing their current supply. It directly affects individuals with these insurance plans who use prescribed hormonal contraceptives. The bill amends existing law to establish these coverage requirements and repeals the previous section.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for contraceptives under insurance/Medicaid, directly expanding access to reproductive healthcare services without cost-sharing barriers.95% confidence

Sub-Topics Insurance Medicaid

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signed · Nebraska · Legislature Apr 14, 2025

LB 326: Change provisions relating to the Unfair Insurance Trade Practices Act, the Nebraska Property and Liability Insurance Guaranty Association Act, and mutual insurance holding companies and eliminate the provisions of the Health Insurance Access Act and the Health Care Purchasing Pool Act

LB 326 amends Nebraska's insurance laws to update definitions and procedures under the Unfair Insurance Trade Practices Act and related statutes. It redefines key terms like "insurer" and "customer," changes the Director of Insurance's authority, and updates rules for claims, settlements, and annual reporting. The bill specifically eliminates the Health Insurance Access Act and Health Care Purchasing Pool Act, removing those frameworks from state law. These changes primarily affect insurance companies, consumers purchasing insurance, and the Nebraska Department of Insurance.

Topics ✗ HealthcareOpposes HealthcareEliminates Health Insurance Access Act and Health Care Purchasing Pool Act, removing key healthcare access frameworks that expanded coverage.95% confidence

Sub-Topics Insurance