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NebraskaLB457109th Legislature 1st and 2nd SessionslegislatureWALLET

Require anaphylaxis policies for school districts and licensed child care facilities and provide a limit on the amount an insured is required to pay by an insurance policy or benefit plan for epinephrine injectors

Sponsored By: Eliot Bostar

Signed by Governor

Banking, Commerce and Insurance Committee

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Epinephrine two-pack costs capped at $60

Beginning January 1, 2026, health plans that cover medically necessary epinephrine injectors must cap what you pay at $60 for a two‑pack per purchase. If applying the cap before the deductible would break HSA status, the cap starts after you meet the IRS HSA minimum deductible. Preventive care under HSA rules is still capped at $60 even before the deductible. The cap does not apply to specified‑disease or other limited‑benefit policies. Self‑funded employer plans follow this rule unless federal law blocks it, and plans can charge less.

Severe allergy plans for schools and child care

Nebraska creates model anaphylaxis policies for schools and licensed child care. Health and Education agencies write them together, post them online, and update them at least every three years. By July 1, 2026, every school district must have a written anaphylaxis policy and publish it in district materials; a policy already in place counts. Licensed child care that cares for a child with a known allergy must have an anaphylaxis policy by July 1, 2026 and include it in the parent handbook or manual. District policies cannot block a student’s individualized anaphylaxis plan and must include emergency steps, individual plans, communication, and ways to reduce exposure.

Sponsors & Cosponsors

Sponsor

  • Eliot Bostar

    Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 78 • No: 1

legislature vote • 4/10/2025

Final Reading

Yes: 47 • No: 1

legislature vote • 3/12/2025

Vote

Yes: 31 • No: 0 • Other: 18

Actions Timeline

  1. Approved by Governor on April 14, 2025

    4/14/2025legislature

  2. Presented to Governor on April 10, 2025

    4/10/2025legislature

  3. President/Speaker signed

    4/10/2025legislature

  4. Passed on Final Reading 47-1*-1

    4/10/2025legislature

  5. Placed on Final Reading

    4/2/2025legislature

  6. Advanced to Enrollment and Review for Engrossment

    3/28/2025legislature

  7. Placed on Select File

    3/25/2025legislature

  8. Advanced to Enrollment and Review Initial

    3/12/2025legislature

  9. Placed on General File

    2/18/2025legislature

  10. Notice of hearing for February 10, 2025

    1/27/2025legislature

  11. Referred to Banking, Commerce and Insurance Committee

    1/23/2025legislature

  12. Date of introduction

    1/21/2025legislature

Bill Text

  • Introduced

    1/21/2025

    PDF

  • Enrolled / Slip Law

    PDF

  • Final / Enacted

    PDF

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