# Nebraska LB257: Change licensure and scope of practice provisions regarding marriage and family therapy and occupational therapy and licensure requirements under the Child Care Licensing Act Nebraska LB257, Change licensure and scope of practice provisions regarding marriage and family therapy and occupational therapy and licensure requirements under the Child Care Licensing Act, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by Dan Quick; status signed, last action 2025-06-06 (Provisions/portions of LB630 amended into LB257 by AM866); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/NE-LB257-109 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nebraska LB257 - State: Nebraska - Session: 109th Legislature 1st and 2nd Sessions - Title: Change licensure and scope of practice provisions regarding marriage and family therapy and occupational therapy and licensure requirements under the Child Care Licensing Act - Status: signed - Chamber: legislature - Introduced: 2025-01-14 - Last action: 2025-06-06, Provisions/portions of LB630 amended into LB257 by AM866 - Sponsor: Dan Quick - Cosponsors: 0 - Subjects: Health and Human Services Committee - Touches household money: yes - Roll calls: 8 (321 yes, 15 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Faster licensing for out-of-state marriage therapists: benefit, medium. Nebraska now licenses marriage and family therapists who hold a valid, independent license in another U.S. state. You must apply, pay the fees, and pass the Nebraska jurisprudence exam. The state also issues a Nebraska certificate to use the title if you meet the same rules. This helps licensed the… - Occupational therapy licensing and temporary practice: benefit, medium. Applicants must finish an accredited OT education program and take the national exam. Foreign-trained applicants must show equivalent education, prove English skill, and pass the exam. A temporary license is allowed while waiting for the exam, but only with an OT’s oversight. It ends at licensure,… - Child care insurance and proof checks: mixed, medium. Licensed child care providers must carry at least $100,000 in liability insurance per occurrence. Inspectors check current proof during inspections. If proof is missing or coverage lapsed, the provider has three business days to show proof. If not, the state suspends the license until insurance is… - More occupational therapy treatments with training rules: mixed, medium. Occupational therapists may offer more services, like virtual care, assistive tech, wound care, and driver rehab. They can use heat, cold, ultrasound, electrical stimulation, and other instrument-assisted methods if they are trained and certified. Dry needling is allowed only after board-approved e… - Child care background checks and hiring bans: mixed, medium. Providers may not employ staff who refuse required background checks, lie on them, are on a sex‑offender registry, or have disqualifying crimes. Employing ineligible staff makes the provider ineligible for a license and the child care subsidy program. Background checks are portable between provider… ## Sponsors and cosponsors - Sponsor: Dan Quick, Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-14 | legislature | Final Reading | pass | 46 | 3 | | | 2025-04-23 | legislature | Vote | fail | 31 | 6 | 12 | | 2025-03-31 | legislature | Vote | fail | 42 | 0 | 7 | | 2025-03-31 | legislature | Vote | fail | 43 | 0 | 6 | | 2025-03-31 | legislature | Vote | fail | 43 | 0 | 6 | | | legislature | Vote | fail | 31 | 6 | 12 | | | legislature | Vote | fail | 43 | 0 | 6 | | | legislature | Vote | fail | 42 | 0 | 7 | ## Actions (26) - 2025-06-06: Provisions/portions of LB630 amended into LB257 by AM866 (legislature) - 2025-06-06: Provisions/portions of LB274 amended into LB257 by AM947 (legislature) - 2025-05-20: Approved by Governor on May 20, 2025 (legislature) - 2025-05-14: Presented to Governor on May 14, 2025 (legislature) - 2025-05-14: President/Speaker signed (legislature) - 2025-05-14: Passed on Final Reading 46-3-0 (legislature) - 2025-05-14: Dispensing of reading at large approved (legislature) - 2025-04-29: Enrollment and Review ST24 recorded (legislature) - 2025-04-29: Enrollment and Review ST24 filed (legislature) - 2025-04-29: Placed on Final Reading with ST24 (legislature) - 2025-04-23: Advanced to Enrollment and Review for Engrossment (legislature) - 2025-04-23: Hunt AM947 adopted (legislature) - 2025-04-23: Enrollment and Review ER37 adopted (legislature) - 2025-04-14: Hunt AM947 to ER37 filed (legislature) - 2025-04-08: Enrollment and Review ER37 filed (legislature) - 2025-04-08: Placed on Select File with ER37 (legislature) - 2025-03-31: Advanced to Enrollment and Review Initial (legislature) - 2025-03-31: Hansen AM866 adopted (legislature) - 2025-03-31: Hansen AM866 filed (legislature) - 2025-03-31: Quick AM850 adopted (legislature) - 2025-03-31: Quick AM850 filed (legislature) - 2025-03-18: Placed on General File (legislature) - 2025-03-12: Quick priority bill (legislature) - 2025-01-24: Notice of hearing for February 07, 2025 (legislature) - 2025-01-16: Referred to Health and Human Services Committee (legislature) - 2025-01-14: Date of introduction (legislature) ## Bill text - Introduced, 2025-01-14: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB257.pdf) - Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB257.pdf) - Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB257.pdf) ## Related bills - LB468: Change provisions relating to inheritance taxes, change certain fee and tax provisions, and eliminate a sales tax exemption relating to data centers (failed) - LB13: Require the Department of Health and Human Services to file a state plan amendment relating to child care (failed) - LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide for regulation of medical cannabis (failed) - LB170: Eliminate the sales tax exemptions for candy and soft drinks (failed) - LB646: Provide an exemption from brand inspections and change fees under the Livestock Brand Act (failed) - LB714: Change provisions relating to motor vehicle taxes and fees (failed) ## Sources - [Introduced (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB257.pdf) - [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB257.pdf) - [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB257.pdf) ## Related - [LB468: Change provisions relating to inheritance taxes, change certain fee and tax pro…](https://policyrisk.com/state-bill/NE-LB468-109) - [LB13: Require the Department of Health and Human Services to file a state plan amendm…](https://policyrisk.com/state-bill/NE-LB13-109) - [LB677: Change provisions of the Nebraska Medical Cannabis Regulation Act and provide f…](https://policyrisk.com/state-bill/NE-LB677-109) - [LB170: Eliminate the sales tax exemptions for candy and soft drinks](https://policyrisk.com/state-bill/NE-LB170-109) - [LB646: Provide an exemption from brand inspections and change fees under the Livestock…](https://policyrisk.com/state-bill/NE-LB646-109) - [LB714: Change provisions relating to motor vehicle taxes and fees](https://policyrisk.com/state-bill/NE-LB714-109) - [Nebraska bills](https://policyrisk.com/states/nebraska/bills) - [Nebraska state hub](https://policyrisk.com/states/nebraska) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/NE-LB257-109 (as of 2026-10-17).