All Roll Calls
Yes: 608 • No: 2
NebraskaLB912109th Legislature 1st and 2nd SessionslegislatureWALLET
Adopt the Community Health Worker Training Endorsement Act, the Athletic Trainer Compact, and the Respiratory Care Interstate Compact, change provisions relating to child care licensing and the practice of athletic training, respiratory care, massage therapy, medical radiography, nurse practitioners, pharmacy, and pharmacists, provide for liens for physical therapy services and automated pickup kiosks for certain prescription medication, and eliminate provisions relating to physician liability for physician assistants
Sponsored By: Brian Hardin
Signed by Governor
Health and Human Services Committee
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
19 provisions identified: 6 benefits, 3 costs, 10 mixed.
Discipline can halt compact privileges
Any disciplinary order against your qualifying license deactivates your compact privilege in all member states for the length of the order. If your license is encumbered, you lose remote‑state privileges until it is cleared and you have two years with no encumbrances or restrictions. A remote state can suspend or remove your compact privilege there and can fine you under its laws. States can run joint investigations, act on serious investigative information from other states, and issue subpoenas; other states’ courts will enforce those subpoenas. The issuing authority must pay required witness and service fees in the state where witnesses or records are located. If state law allows, a state can bill you for investigation and case costs after an adverse action.
Insurance pay for trained community health workers
The law creates a state endorsement for community health worker (CHW) training. Endorsed CHW services are eligible for payment by Medicaid and private insurers. By July 1, 2027, the health department can set core skills, application and renewal steps, and reasonable fees for endorsement. This endorsement is not a license and does not let CHWs do tasks that require a professional license.
More staffing flexibility for child care
Licensed programs may count vetted volunteers in staff‑to‑child ratios for up to 10 hours per week. Volunteers must pass fingerprint and background checks and be supervised unless they meet full staff training. This option ends December 31, 2028. Local governments cannot force family child care home II providers to live in a certain place, though they may enforce health and safety rules.
Child care licenses tied to staff checks
A child care provider cannot get a license or take part in the child care subsidy program if it employs a staff member who is disqualified under the law. This can cut provider income and limit options for families who use subsidies.
Physical therapists can file medical liens
Physical therapists can place a lien on injury settlements or judgments for their usual and customary charges. The lien does not apply to workers covered by Nebraska workers’ compensation. If the patient had private insurance or a private health plan, the lien is reduced by the plan’s contracted discount. Courts use the private‑party rate to measure medical expense damages.
Athletic trainers can work across states
Nebraska adopts the Athletic Trainer Compact. If you hold a qualifying, unencumbered license and pass a background check, you can get a Compact Privilege to treat patients in other member states. You must have BOC certification or meet the education and exam path. Your privilege lasts until your home-state license expires and renews on the same schedule. You must follow the scope of practice where the patient is located and may owe state fees. The Compact Commission sets binding rules and defends its officials. Nebraska also accepts a Compact license to practice in the state, and any state that leaves must give 180 days’ notice.
Easier cross-state work for respiratory therapists
Nebraska joins the Respiratory Care Interstate Compact. Once seven states have passed it, licensed therapists can get compact privileges to work in other member states. To use a privilege, you must keep an active home‑state license and an active NBRC credential, have no adverse action in the last two years, meet any remote‑state law or test, report your home address within 30 days of changes, and pay state and Commission fees. You can only pick one qualifying license at a time. New applicants must complete fingerprint or biometric criminal background checks at initial licensure. The state must license therapists, share information, and grant compact privileges to qualifying licensees.
Respiratory therapists get interstate mobility
Nebraska joins the Respiratory Care Interstate Compact. To practice here, you must hold a Nebraska license or a compact privilege, with limited exceptions for students, certain technologists, and federal staff. The Compact Commission runs a shared data system and can assess fees; states must report licenses and actions but can mark some records nonpublic and must remove expunged records. Current significant investigative info is not public. States can investigate together but cannot discipline you for conduct that was legal where it occurred.
Stronger child care background checks
Child care staff and applicants must complete fingerprint‑based national checks at least every five years. They must also pay for national sex‑offender and state abuse registry searches for any state lived in during the past five years, unless federal funds cover costs. People who refuse checks, lie, are sex‑offender registrants, or have violent, moral‑turpitude, or dishonesty convictions cannot work. New hires may start after a qualifying fingerprint result but must be supervised until all checks are done. The state issues a document showing eligibility that you can use with other child care employers for 180 days. The state also keeps a system to track license violations.
Therapist/trainer compacts: privacy and suspensions
If your home‑state license is encumbered, you lose Compact Privilege in all other states. You can regain it only after your license is cleared, two more years pass, and you meet all compact requirements. States cannot put criminal history record information into the compact database. Investigative information is shared only with other member states, not the public.
Flexible timing for pharmacy law exam
To get a pharmacist license, you must pass the pharmacy exam and a law exam. Your accredited program may let you take the law exam before or after graduation. The board still sets passing scores.
More places to offer massage
Massage therapists may practice outside a licensed establishment when the law or department rules allow it. This expands where services can be offered while keeping state oversight.
No compact fees for active military
Active-duty members and their spouses do not pay the Compact Commission fee for a compact privilege. A state may also cut or waive its own state fee. You can keep your home-state license when you move.
Nurse practitioners may use fluoroscopy
Nurse practitioners can perform and direct fluoroscopy after finishing board‑ and department‑approved training. Licensed medical radiographers may use fluoroscopy under a nurse practitioner’s direction.
Domestic-abuse training for mental health
Licensed mental health practitioners must complete at least two hours of domestic‑abuse continuing education every two years. Starting September 1, 2027, provisional licensees must take three hours covering screening, risk, documentation, effects on children, ethics, trauma‑informed care, and safety planning. Training must be taught by qualified experts and approved by the board.
Fingerprints for new health licenses
Applicants for initial licenses in certain fields, including athletic training and respiratory care, must submit fingerprints to the Nebraska State Patrol. The Patrol sends them to the FBI for a national check. Applicants must allow release of results and pay the actual costs.
Easier prescription pickup and pharmacy transfers
Facilities can accept prepaid, non‑controlled prescriptions for patient pickup without practicing pharmacy, if they keep items in original packaging, offer counseling by a pharmacist, keep records, and handle unclaimed items after 30 days. A pharmacist may supervise up to four people at once; if all four are pharmacy technicians, at least one must be a certified technician. Pharmacies can transfer original prescription information for refills, including Schedule III, IV, and V, and must keep both records for five years.
How the compact is run and enforced
Commission rules have the force of law in member states, and states must enforce the compact. Most Commission meetings are public with 30 days’ notice; emergency meetings need at least 24 hours’ notice. The Commission must give 30 days’ public notice and a hearing for rules, can issue emergency rules with 24 hours’ notice (then complete normal steps within 90 days), and can make limited corrections with a 30‑day challenge window. Commission members and staff get legal protection and defense, and the Commission must indemnify them unless misconduct is intentional. Court cases by or against the Commission occur in federal court tied to the Commission’s home district or in D.C., and the winner can recover legal costs. The Commission offers dispute resolution, can act if a state defaults, and after termination a state must notify licensees and honor compact licenses for at least 180 days. The Commission reviews the first seven states’ enactments for differences, and previously adopted Commission rules bind states when they join.
Shared licensing data and privacy rules
The Compact Commission runs a central data system with license and discipline records. Member states must send a uniform set of data, report adverse actions, and watch the system for actions against licensees. When a state takes an adverse action, it must promptly notify the data system, which alerts all member states. States can mark some contributed information as nonpublic, and expunged records must be removed. Certified data‑system records count as authenticated business records in hearings.
Sponsors & Cosponsors
Sponsor
Brian Hardin
Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
legislature vote • 4/10/2026
Final Reading
Yes: 49 • No: 0
legislature vote • 3/31/2026
Vote
Yes: 35 • No: 0 • Other: 14
legislature vote • 3/31/2026
Vote
Yes: 36 • No: 0 • Other: 13
legislature vote • 3/31/2026
Vote
Yes: 34 • No: 0 • Other: 15
legislature vote • 3/31/2026
Vote
Yes: 32 • No: 1 • Other: 16
legislature vote • 3/12/2026
Vote
Yes: 32 • No: 0 • Other: 17
legislature vote • 3/12/2026
Vote
Yes: 31 • No: 0 • Other: 18
legislature vote • 3/12/2026
Vote
Yes: 31 • No: 0 • Other: 18
legislature vote • 3/12/2026
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • 3/12/2026
Vote
Yes: 31 • No: 0 • Other: 18
legislature vote • Unknown
Vote
Yes: 32 • No: 1 • Other: 16
legislature vote • Unknown
Vote
Yes: 33 • No: 0 • Other: 16
legislature vote • Unknown
Vote
Yes: 31 • No: 0 • Other: 18
legislature vote • Unknown
Vote
Yes: 32 • No: 0 • Other: 17
legislature vote • Unknown
Vote
Yes: 34 • No: 0 • Other: 15
legislature vote • Unknown
Vote
Yes: 31 • No: 0 • Other: 18
legislature vote • Unknown
Vote
Yes: 36 • No: 0 • Other: 13
legislature vote • Unknown
Vote
Yes: 35 • No: 0 • Other: 14
Actions Timeline
Provisions/portions of LB1211 amended into LB912 by AM2464
4/17/2026legislatureProvisions/portions of LB1012 amended into LB912 by AM2423
4/17/2026legislatureProvisions/portions of LB936 amended into LB912 by AM2578
4/17/2026legislatureProvisions/portions of LB914 amended into LB912 by AM2833
4/17/2026legislatureProvisions/portions of LB892 amended into LB912 by AM2224
4/17/2026legislatureProvisions/portions of LB891 amended into LB912 by AM2224
4/17/2026legislatureProvisions/portions of LB887 amended into LB912 by AM2224
4/17/2026legislatureProvisions/portions of LB825 amended into LB912 by AM2923
4/17/2026legislatureProvisions/portions of LB796 amended into LB912 by AM2642
4/17/2026legislatureProvisions/portions of LB736 amended into LB912 by AM2224
4/17/2026legislatureProvisions/portions of LB735 amended into LB912 by AM2224
4/17/2026legislaturePresented to Governor on April 10, 2026
4/17/2026legislatureApproved by Governor on April 14, 2026
4/14/2026legislaturePresident/Speaker signed
4/10/2026legislaturePassed on Final Reading with Emergency Clause 49-0-0
4/10/2026legislatureDispensing of reading at large approved
4/10/2026legislatureEnrollment and Review ST81 recorded
4/7/2026legislatureEnrollment and Review ST81 filed
4/7/2026legislaturePlaced on Final Reading with ST81
4/7/2026legislatureAdvanced to Enrollment and Review for Engrossment
3/31/2026legislatureBallard AM2923 adopted
3/31/2026legislatureHardin AM2833 adopted
3/31/2026legislatureRiepe AM2760 adopted
3/31/2026legislatureDeKay AM2642 adopted
3/31/2026legislatureKauth FA572 withdrawn
3/31/2026legislature
Bill Text
Introduced
1/9/2026
Enrolled / Slip Law
Final / Enacted
Related Bills
LB903, Provide for referrals for home visitation services and for early intervention services and eliminate a provision relating to the applicability of the Family Home Visitation Act
LB888, Change enforcement provisions for violations of the Nebraska Uniform Standards for Modular Housing Units Act, the Uniform Standard Code for Manufactured Homes and Recreational Vehicles, and certain rules, regulations, and orders
LB894, Change provisions relating to the Grain Dealer Act and the Grain Warehouse Act
LB905, Change and eliminate provisions relating to boards, commissions, committees, task forces, and funds that terminate
LB912A, Appropriation Bill
LB889, Change a penalty and provisions regulating licensure and registration under the State Electrical Act