Section 1. Sections 1 to 5 of this act shall be known and may be cited as the Discretionary Clause Prohibition Act.2 Sec. 2. The purpose of the Discretionary Clause Prohibition Act is to ensure that health insurance benefits and disability income protection coverage are contractually guaranteed and to avoid the conflict of interest that occurs when the health carrier or insurer responsible for providing benefits has discretionary authority to decide what benefits are due.
The purpose of this resolution is to examine and analyze how state regulated health plans and state employee health plans use programs to limit contributions made by, or on behalf of, a consumer, known as copay accumulator adjustment programs. The issues addressed by this interim study include, but are not limited to, an examination of: (1) What year such health plan or pharmacy benefit manager initiated a copay accumulator adjustment program; (2) All years the health plan or pharmacy benefit manager utilized copay accumulator adjustment programs; (3) The number of consumers affected by a [...]
A BILL FOR AN ACT relating to the Medical Assistance Act; to amend section 68-901, Revised Statutes Supplement, 2021; to provide requirements and limits on the use of prior authorizations by managed care organizations; to harmonize provisions; to repeal the original section; and to declare an emergency.
Adopt the Primary Care Investment Act. LB737 creates the Primary Care Investment Council which will: (1) determine an appropriate definition of primary care spending; (2) develop policies and procedures for the collection of information necessary to measure primary care spending levels in Nebraska; (3) determine the appropriate target level of primary care spending for carriers in Nebraska; and (4) develop recommendations to the Legislature for achieving and sustaining primary care spending in Nebraska at the target level.
Adopt the Travel Insurance Act and the Primary Care Investment Act and change provisions relating to premium rebates, insurance coverage, the Insurance Holding Company System Act, and the Insurers Investment Act. The legislation proposes to adopt the latest National Association of Insurance Commissioners (NAIC) amendments to the NAIC Insurance Holding Company System Regulatory Act, codified in Nebraska as the Insurance Holding Company Systems Act, Neb. Rev. Stat. §§ 44-2120 – 44-2155.
Interim study to examine whether legislation should be enacted to provide for comprehensive regulation of pharmacy benefit managers
Provide for compensation under the Nebraska Crime Victim's Reparations Act for health care providers examining or treating victims of sexual assault, domestic assault, or child abuse.
Adopt the Step-Therapy Reform Act: When coverage of a prescription drug for the treatment or any medical condition is restricted for use by a health carrier or utilization review organization through the use of a step-therapy protocol, the prescribing health care provider and the covered person shall have access to a clear, readily accessible, and convenient process to request a step-therapy override exception.
Require sharing of information with the designated health information exchange and change provisions related to the Health Information Technology Board
Allow for audio-only telehealth to be used in delivery of behavioral health services, and postpone the written consent requirement to deliver telehealth services. Allow services to originate from any location where the patient is located.
