Nebraska 2025-2026 Regular Session

Nebraska Legislature Bill LB77

Introduced
1/9/25  

Caption

Adopt the Ensuring Transparency in Prior Authorization Act

Impact

If enacted, LB77 will significantly impact state laws governing healthcare and insurance practices. It will introduce requirements for insurance companies to provide detailed explanations for prior authorization decisions and establish timelines for communication. This legislative measure is expected to alleviate some of the frustrations faced by healthcare providers who often encounter challenges when navigating the prior authorization process, thus potentially improving the efficiency of patient care. Additionally, many stakeholders in the healthcare sector, including patient advocacy groups, support this bill, highlighting the necessity of transparency in healthcare delivery.

Summary

LB77, known as the Ensuring Transparency in Prior Authorization Act, seeks to enhance the clarity and accessibility of the prior authorization process in the healthcare system. The bill is designed to ensure that patients and healthcare providers can easily understand the criteria used by insurance companies to approve or deny services and medications. By requiring clearer communication from insurers, the bill aims to reduce delays in care and improve patient outcomes. Proponents argue that transparency is essential for enabling informed healthcare decisions and fostering trust between patients, providers, and insurers.

Contention

Despite the support for LB77, there are notable points of contention among various stakeholders. Some insurance companies express concerns that increased transparency may lead to administrative burdens and higher costs. They argue that the additional requirements could complicate the approval process instead of expediting care. Moreover, there are questions about how the bill will be enforced and the implications for insurance premiums. Opponents also worry that while the bill aims for transparency, it may inadvertently affect the quality of care or lead to the denial of necessary services under new criteria established by insurers.

Companion Bills

No companion bills found.

Previously Filed As

NE LB58

Eliminate provisions relating to jeweler’s liens

NE LB581

Appropriate funds to the Department of Health and Human Services

NE LB347

Eliminate conditions on the issuance of securities by common carriers

NE LB618

Deny claims against the state

NE LB392

Appropriate funds for the Legislative Council

NE LB516

Eliminate provisions relating to counties maintaining office space for the Department of Health and Human Services

NE LB688

Prohibit advertising of electronic nicotine delivery systems

NE LB146

State intent regarding appropriations for dental services under the Medical Assistance Act

Similar Bills

No similar bills found.