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

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Epinephrine two-pack costs capped at $60

Beginning January 1, 2026, if your insurance covers medically necessary epinephrine injectors, you pay no more than $60 for a two‑pack. Plans can charge less. The cap does not apply to specified-disease or other limited-benefit policies. If you have an HSA-eligible plan and have not met the IRS minimum deductible, the cap starts after you meet that deductible. Preventive care coverage still applies. Self-funded employer plans must follow this unless federal law blocks it.

Stronger allergy plans in schools and child care

Nebraska’s health and education departments create a model plan to handle severe allergic reactions in schools and licensed child care. The model covers treatment steps, individual health plans, how to talk with families, and ways to cut risk. Agencies review and update it at least every three years and post it online. By July 1, 2026, each school board must have a written anaphylaxis policy in handbooks that does not conflict with a student’s individual plan. Licensed child care that serves a child with a known allergy must also have and publish a written policy by July 1, 2026. Programs and districts may use the state model. A policy already in place before this law counts.

Technical update to child care law

The law repeals section 71-1908 of Nebraska statutes. This is a technical change to child care licensing law. The direct effects for households are unclear without the prior text.

Sponsors & Cosponsors

Sponsor

  • Eliot Bostar

    legislature

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. Passed on Final Reading 47-1*-1

    4/10/2025legislature
  3. President/Speaker signed

    4/10/2025legislature
  4. Presented to Governor on April 10, 2025

    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

    4/14/2025

  • Enrolled / Slip Law

  • Final / Enacted

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