# Nebraska LB332: Provide for assistant funeral directors, change scope of practice and regulatory provisions regarding funeral directing and embalming, hearing instrument specialists, and audiologists, change membership provisions for the Board of Pharmacy, change provisions regarding delegated dispensing permits and prescription refills, provide medicaid coverage for psychology services, and establish the Rural Health Opportunity Program

Nebraska LB332, Provide for assistant funeral directors, change scope of practice and regulatory provisions regarding funeral directing and embalming, hearing instrument specialists, and audiologists, change membership provisions for the Board of Pharmacy, change provisions regarding delegated dispensing permits and prescription refills, provide medicaid coverage for psychology services, and establish the Rural Health Opportunity Program, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by Brian Hardin; status signed, last action 2025-06-06 (Provisions/portions of LB697 amended into LB332 by AM729); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/NE-LB332-109
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Nebraska LB332
- State: Nebraska
- Session: 109th Legislature 1st and 2nd Sessions
- Title: Provide for assistant funeral directors, change scope of practice and regulatory provisions regarding funeral directing and embalming, hearing instrument specialists, and audiologists, change membership provisions for the Board of Pharmacy, change provisions regarding delegated dispensing permits and prescription refills, provide medicaid coverage for psychology services, and establish the Rural Health Opportunity Program
- Status: signed
- Chamber: legislature
- Introduced: 2025-01-16
- Last action: 2025-06-06, Provisions/portions of LB697 amended into LB332 by AM729
- Sponsor: Brian Hardin
- Cosponsors: 0
- Subjects: Health and Human Services Committee
- Touches household money: yes
- Roll calls: 8 (266 yes, 0 no in all)
- Economic provisions PRIA read: 17

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Full tuition waivers for rural students: benefit, high. The Rural Health Opportunity Program waives 100% of tuition and fees for up to four academic years at a state college. You must be a Nebraska high school graduate or have a Nebraska equivalency and have lived in a rural area as defined by the boards. The waiver covers courses needed for early admis…
- More Medicaid help for devices and support: benefit, medium. Starting August 1, 2024, Medicaid covers continuous glucose monitors (CGMs) for people with a prescription, including gestational diabetes and those who meet local coverage rules. By January 1, 2024, Medicaid pays for needed translation and interpreter services during covered care. By January 1, 20…
- More Medicaid mental health and postpartum care: benefit, medium. By January 1, 2026, Medicaid covers psychology services from advanced trainees who finished a doctoral internship or a postdoctoral fellowship and work under a licensed psychologist. The department seeks federal approval (by October 1, 2023) to extend postpartum coverage from 60 days to at least si…
- Clearer hearing aid sales and receipts: benefit, low. Sellers must give a written contract for each hearing aid sale. At delivery, you get an itemized receipt with the seller’s license info; brand, model, and serial; price; software status; whether it is new, used, or rebuilt; guarantee terms; and packaging. The receipt must say the specialist’s fitti…
- Only licensees may fit hearing aids: benefit, low. Only people with a current hearing instrument specialist license may order or fit hearing instruments. No one may advertise these services without a valid, unsuspended license.
- Pharmacy emergency refills and clinic dispensing: benefit, low. Public health clinics with a delegated permit can dispense listed drugs and devices without a pharmacist onsite. Prescriptions must be written by a Nebraska‑licensed practitioner at the clinic or affiliated with it, and clinics must follow labeling, formulary, and pharmacist‑availability rules. If…
- Certified hearing pros may be trainers: benefit, low. Licensed hearing instrument specialists with NBC‑HIS certification or a board‑recognized advanced credential may work as trainers. They can provide hands‑on training in hearing instrument sciences for an employer.
- New paths to hearing specialist licenses: benefit, low. To be licensed, you must pass the exam, be at least 21, and have a high‑school‑equivalent education. You must also meet one path: required practicum hours; a two‑year hearing‑sciences degree; a current out‑of‑state license for 12 of the last 18 months; National Board certification at exam time; or…
- Stronger supervision for school speech aides: benefit, low. School speech aides must work under the direct supervision of a licensed speech‑language pathologist. This protects students and clarifies who oversees services.
- Safer earwax removal by specialists: mixed, low. Before removing earwax, a specialist must have two years of undisciplined licensure, finish a board‑approved course with at least six hours of hands‑on practice, and carry liability insurance. After that, they take one hour of earwax‑specific continuing education each year. They must follow infecti…
- Stronger hearing test and fitting rules: mixed, low. A licensed specialist must do a face‑to‑face hearing test, or use a signed test from the last six months, before ordering or fitting a device. The test must include air‑conduction at 250–8,000 Hz, bone‑conduction at 500–4,000 Hz, inter‑octaves when differences exceed 15 dB, masking when needed, and…
- Who can provide hearing services: mixed, low. The law defines what ordering and fitting include (case history, otoscopy, tests, ear impressions or scans, training, and aftercare) and what they do not include (medical diagnosis, tinnitus treatment, foreign‑body removal). Licensed specialists can order, fit, sell, and service devices and may ord…
- New assistant funeral director role: mixed, low. The law creates the job title “assistant funeral director.” A funeral director who employs an assistant must sign a collaborative agreement, supervise the assistant, and keep records of the agreement and the assistant’s work.
- New rules for funeral assistants and apprentices: mixed, low. Assistant funeral directors must pass a Nebraska law exam. They must be employed by a licensed funeral director and have a signed collaborative agreement for each job. Assistants may help with funerals, burials, family meetings, and daily operations, but only under supervision. Assistants cannot em…
- Stores may sell hearing aids with licensees: mixed, low. A corporation, partnership, LLC, trust, or association may sell hearing instruments at retail without its own organization license. The business must have a regular business address, employ only properly licensed people to handle direct sales and fittings, and file a yearly list of those licensees…
- Immediate start and statute cleanup: mixed, low. The act takes effect when passed and approved because it declares an emergency. It also repeals the specific older law sections listed in the act.
- Who sits on Pharmacy Board changes: mixed, low. The Nebraska Board of Pharmacy now has five practicing pharmacists, one pharmacy technician, and two public members. At least one pharmacist must practice in a hospital.

## Sponsors and cosponsors

- Sponsor: Brian Hardin, Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-05-14 | legislature | Final Reading | pass | 49 | 0 |   |
| 2025-04-23 | legislature | Vote | fail | 37 | 0 | 12 |
| 2025-04-02 | legislature | Vote | fail | 29 | 0 | 20 |
| 2025-04-02 | legislature | Vote | fail | 28 | 0 | 21 |
| 2025-04-02 | legislature | Vote | fail | 29 | 0 | 20 |
|   | legislature | Vote | fail | 29 | 0 | 20 |
|   | legislature | Vote | fail | 28 | 0 | 21 |
|   | legislature | Vote | fail | 37 | 0 | 12 |

## Actions (31)

- 2025-06-06: Provisions/portions of LB697 amended into LB332 by AM729 (legislature)
- 2025-06-06: Provisions/portions of LB555 amended into LB332 by AM729 (legislature)
- 2025-06-06: Provisions/portions of LB515 amended into LB332 by AM729 (legislature)
- 2025-06-06: Provisions/portions of LB154 amended into LB332 by AM729 (legislature)
- 2025-06-06: Provisions/portions of LB119 amended into LB332 by AM828 (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 with Emergency Clause 49-0-0 (legislature)
- 2025-05-14: Dispensing of reading at large approved (legislature)
- 2025-04-29: Enrollment and Review ST25 recorded (legislature)
- 2025-04-29: Enrollment and Review ST25 filed (legislature)
- 2025-04-29: Placed on Final Reading with ST25 (legislature)
- 2025-04-23: Advanced to Enrollment and Review for Engrossment (legislature)
- 2025-04-23: Hardin AM1154 adopted (legislature)
- 2025-04-23: Hardin AM1154 filed (legislature)
- 2025-04-23: Hardin AM1117 withdrawn (legislature)
- 2025-04-23: Enrollment and Review ER42 adopted (legislature)
- 2025-04-22: Hardin AM1117 to ER42 filed (legislature)
- 2025-04-09: Enrollment and Review ER42 filed (legislature)
- 2025-04-09: Placed on Select File with ER42 (legislature)
- 2025-04-02: Advanced to Enrollment and Review Initial (legislature)
- 2025-04-02: Health and Human Services AM729 adopted (legislature)
- 2025-04-02: Hardin AM828 adopted (legislature)
- 2025-03-31: Hardin AM828 to AM729 filed (legislature)
- 2025-03-20: Health and Human Services AM729 filed (legislature)
- 2025-03-20: Placed on General File with AM729 (legislature)
- 2025-03-13: Health and Human Services priority bill (legislature)
- 2025-02-05: Notice of hearing for February 19, 2025 (legislature)
- 2025-01-21: Referred to Health and Human Services Committee (legislature)
- 2025-01-16: Date of introduction (legislature)

## Bill text

- Introduced, 2025-01-16: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB332.pdf)
- Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB332.pdf)
- Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB332.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/LB332.pdf)
- [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB332.pdf)
- [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB332.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)
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Source: PRIA, https://policyrisk.com/state-bill/NE-LB332-109 (as of 2026-10-17).
