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Ensuring Transparency in Prior Authorization Act (2025)

Nebraska | LB 77

Year Enacted
2025
Date Signed
Jun 4, 2025
Effective Date
Jan 1, 2026
Most sections operative January 1, 2026
Status
Enacted
Enacted

Categories

Payer Utilization Review

Key Requirements

An AI algorithm may not be the sole basis of a decision to deny, delay or modify health care services based in whole or part on medical necessity. Utilization review entities must disclose their use of AI to the Department of Insurance, to network providers and enrollees, and on a public website.

Regulated Parties

Health carriers and utilization review entities

Enforcement

Nebraska Department of Insurance oversight

Sources

Notes

Slip law states 'Approved by the Governor June 4, 2025'.

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