Nebraska 2023-2024 Regular Session

Nebraska Legislature Bill LB210

Introduced
1/10/23  
Refer
1/12/23  

Caption

Adopt the Prior Authorization Reform Act

Impact

The introduction of LB210 is expected to have significant ramifications on both state healthcare laws and the practices of insurance providers. By enforcing stricter guidelines concerning prior authorization, the bill seeks to curtail the delays often faced by patients when securing authorization for necessary treatments. Proponents believe that this legislation aligns with broader healthcare reform initiatives aimed at prioritizing patient access and reducing unnecessary barriers to care.

Summary

LB210, known as the Prior Authorization Reform Act, aims to revamp the current prior authorization processes in healthcare. The bill is designed to streamline and simplify the requirements that patients and healthcare providers must navigate to obtain approvals for necessary medical services and medications. Advocates assert that the reform will enhance patient access to timely care, reduce administrative burdens on healthcare providers, and ultimately improve overall health outcomes for patients in need of essential services.

Contention

However, the bill has not emerged without its share of debate. Certain stakeholders, particularly representatives from insurance companies, have expressed concerns that the proposed changes could lead to an increase in costs and potential abuse of the system. Discussions around LB210 reflect a tension between ensuring patient access and the fiscal sustainability of healthcare insurance models. Critics argue that stringent reforms could inadvertently hinder insurers' ability to manage healthcare costs effectively and ensure that services rendered are medically necessary.

Companion Bills

No companion bills found.

Previously Filed As

NE HB1357

Modernizing the prior authorization process.

NE LB77

Adopt the Ensuring Transparency in Prior Authorization Act and provide for insurance and medicaid coverage of biomarker testing

NE LB340

Adopt the Asbestos Trust Claims Transparency Act and the Asbestos Claims Priorities and Over-Naming Reform Act

NE LB917

Require the establishment of a standard prior authorization process for health benefit plans and the approval and use of prior authorization forms

NE HB1566

Making improvements to transparency and accountability in the prior authorization determination process.

NE SB5395

Making improvements to transparency and accountability in the prior authorization determination process.

NE HB1706

Aligning the implementation of application programming interfaces for prior authorization with federal guidelines.

NE SB5324

Aligning the implementation of application programming interfaces for prior authorization with federal guidelines.

NE LB709

Adopt the Adoption Tax Credit Act

NE LB467

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

Similar Bills

No similar bills found.