NebraskaLB967109th Legislature 1st and 2nd SessionslegislatureWALLET

Change provisions relating to insurance fees, licensing, and trade practices, pharmacy benefit managers, mutual insurance holding companies, the Population Health Information Act, the Health Information Technology Board, and the Site and Building Development Act and adopt the Nebraska Protection of Seniors from Insurance Exploitation Act

Sponsored By: Mike Jacobson

Signed by Governor

Banking, Commerce and Insurance Committee

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Bill Overview

Analyzed Economic Effects

8 provisions identified: 3 benefits, 1 costs, 4 mixed.

Stronger safeguards against senior exploitation

Insurers can pause a payout after an internal review if they reasonably think it could lead to exploitation. They must notify authorized people and the Director within 7 business days, and the pause can last 15 business days with limited extensions. Insurers and trained staff can report concerns and contact a trusted third party, and they have immunity when acting in good faith. Staff who handle complaints or fraud must be trained by April 15, 2027, or within one year of hire. Insurers must share records with regulators and law enforcement, those records stay confidential, and the Director sets detailed rules.

Statewide health data sharing with opt-out

Providers can use the state health information exchange to view patient records for care, under HIPAA rules. You can opt out of exchange sharing, but required public health reports still go through. Health insurance plans must share set data by January 1, 2022. Listed health care facilities must participate by January 1, 2027, with waivers for heavy tech burdens and no forced purchase of electronic systems. DHHS and the exchange must have a Medicaid data agreement (by Sept 30, 2021), and the Health IT Board’s membership and duties are updated with annual reports due by November 15.

Providers keep payment method choice

Starting January 1, 2027, health plans and their contractors cannot force card-only claim payments. Providers can choose other ways to get paid for claims.

Online meeting notices for mutual insurers

Mutual insurance holding companies can send annual meeting notices by email or post them online. Notices must include meeting details and voting steps. If a member asks, the company must mail printed materials for free.

Grants for golf facilities in metro cities

Political subdivisions and accredited golf groups can get grants to build golf facilities inside a metropolitan-class city. Applicants must show veterans and youth programming, provide support letters (including from the mayor), and prove at least 80% of construction funding. Grants can cover up to 20% of total construction costs.

Tougher rules for pharmacy benefit managers

Pharmacy benefit managers must be licensed to operate in Nebraska. The application fee is up to $500 and the annual renewal is up to $250, with $100 per day fines for late renewal. PBMs must report ownership changes, and the Director can suspend or revoke a license for cause. The Unfair Insurance Trade Practices Act now clearly covers PBMs and some other entities, and defines health insurance lead generation and recordings.

New rules and fees for insurance producers

Nonresident producers can get a Nebraska license if they are in good standing in their home state and file the request and fees. A producer who changes legal residence must file the change within 30 days. If a nonresident loses good standing at home, Nebraska can automatically revoke the license. Fees are capped: up to $100 for a producer license, $10 per annual appointment, $125 for late renewal, $175 for reinstatement, and $50 for a business-entity license. Fees are not prorated and are refunded only if paid in error.

Shifts insurance cash to state budget

The State Treasurer moves money from the Department of Insurance Cash Fund into the General Fund. Transfers are $14 million by June 30, 2026; $11.2 million by June 30, 2027; $11 million by June 30, 2028; and $11 million by June 30, 2029. The budget administrator sets the timing of each transfer.

Sponsors & Cosponsors

Sponsor

  • Mike Jacobson

    legislature

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 304 • No: 3

legislature vote 4/24/2026

Vote

Yes: 33 • No: 1 • Other: 15

legislature vote 4/24/2026

Vote

Yes: 37 • No: 0 • Other: 12

legislature vote 4/24/2026

Vote

Yes: 41 • No: 0 • Other: 8

legislature vote 4/1/2026

Final Reading

Yes: 48 • No: 0 • Other: 1

legislature vote 3/24/2026

Vote

Yes: 41 • No: 0 • Other: 8

legislature vote 3/24/2026

Vote

Yes: 37 • No: 0 • Other: 12

legislature vote 3/5/2026

Vote

Yes: 33 • No: 1 • Other: 15

legislature vote 3/5/2026

Vote

Yes: 34 • No: 1 • Other: 14

Actions Timeline

  1. Approved by Governor on April 7, 2026

    4/7/2026legislature
  2. Dispensing of reading at large approved

    4/1/2026legislature
  3. Passed on Final Reading 48-0-1

    4/1/2026legislature
  4. President/Speaker signed

    4/1/2026legislature
  5. Presented to Governor on April 1, 2026

    4/1/2026legislature
  6. Placed on Final Reading with ST73

    3/30/2026legislature
  7. Enrollment and Review ST73 filed

    3/30/2026legislature
  8. Enrollment and Review ST73 recorded

    3/30/2026legislature
  9. Enrollment and Review ER138 adopted

    3/24/2026legislature
  10. McKinney MO502 withdrawn

    3/24/2026legislature
  11. McKinney MO503 withdrawn

    3/24/2026legislature
  12. McKinney MO504 withdrawn

    3/24/2026legislature
  13. Kauth FA623 withdrawn

    3/24/2026legislature
  14. Hansen FA1022 withdrawn

    3/24/2026legislature
  15. Jacobson FA1032 withdrawn

    3/24/2026legislature
  16. Jacobson AM2797 adopted

    3/24/2026legislature
  17. Bostar AM2888 filed

    3/24/2026legislature
  18. Bostar AM2888 adopted

    3/24/2026legislature
  19. Advanced to Enrollment and Review for Engrossment

    3/24/2026legislature
  20. Jacobson AM2797 filed

    3/20/2026legislature
  21. Placed on Select File with ER138

    3/10/2026legislature
  22. Enrollment and Review ER138 filed

    3/10/2026legislature
  23. McKinney MO502 Bracket until April 17, 2026 filed

    3/9/2026legislature
  24. McKinney MO503 Recommit to the Banking, Commerce and Insurance Committee filed

    3/9/2026legislature
  25. McKinney MO504 Indefinitely postpone filed

    3/9/2026legislature

Bill Text

  • Introduced

    4/7/2026

  • Enrolled / Slip Law

  • Final / Enacted

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