# Nebraska LB457: 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 Nebraska LB457, 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, is a 109th Legislature 1st and 2nd Sessions legislature bill sponsored by Eliot Bostar; status signed, last action 2025-04-14 (Approved by Governor on April 14, 2025); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/NE-LB457-109 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Nebraska LB457 - State: Nebraska - Session: 109th Legislature 1st and 2nd Sessions - Title: 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 - Status: signed - Chamber: legislature - Introduced: 2025-01-21 - Last action: 2025-04-14, Approved by Governor on April 14, 2025 - Sponsor: Eliot Bostar - Cosponsors: 0 - Subjects: Banking, Commerce and Insurance Committee - Touches household money: yes - Roll calls: 2 (78 yes, 1 no in all) - Economic provisions PRIA read: 2 ## Summary No summary available. ## Bill overview: provisions PRIA read - Epinephrine two-pack costs capped at $60: benefit, low. 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 unde… - Severe allergy plans for schools and child care: benefit, low. 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… ## Sponsors and cosponsors - Sponsor: Eliot Bostar, Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-10 | legislature | Final Reading | pass | 47 | 1 | | | 2025-03-12 | legislature | Vote | fail | 31 | 0 | 18 | ## Actions (12) - 2025-04-14: Approved by Governor on April 14, 2025 (legislature) - 2025-04-10: Presented to Governor on April 10, 2025 (legislature) - 2025-04-10: President/Speaker signed (legislature) - 2025-04-10: Passed on Final Reading 47-1*-1 (legislature) - 2025-04-02: Placed on Final Reading (legislature) - 2025-03-28: Advanced to Enrollment and Review for Engrossment (legislature) - 2025-03-25: Placed on Select File (legislature) - 2025-03-12: Advanced to Enrollment and Review Initial (legislature) - 2025-02-18: Placed on General File (legislature) - 2025-01-27: Notice of hearing for February 10, 2025 (legislature) - 2025-01-23: Referred to Banking, Commerce and Insurance Committee (legislature) - 2025-01-21: Date of introduction (legislature) ## Bill text - Introduced, 2025-01-21: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB457.pdf) - Enrolled / Slip Law: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB457.pdf) - Final / Enacted: [PDF](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB457.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/LB457.pdf) - [Enrolled / Slip Law (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB457.pdf) - [Final / Enacted (PDF)](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB457.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-LB457-109 (as of 2026-10-17).