Nebraska has been active in promoting price transparency in recent terms. In 2019, the legislature enacted the Pharmacy Benefit Fairness and Transparency Act (LB 316), which establishes transparency provisions for pharmacy benefit managers when contracting with pharmacies and prohibits clawbacks and gag clauses. In 2018, the state enacted the Direct Primary Care Pilot Program Act. This bill includes the Right to Shop Act, which would empower patients to choose the best value care by requiring insurance carriers to provide patients with the tools to find the best value and provide cash from shared savings. The legislature also passed laws to promote telehealth in the state (LB 29).
In the past, Nebraska passed the 2014 Health Care Transparency Act, which created an advisory committee to investigate the creation of an all-payer claims database, and facilitate the reporting of health care and health quality data, provide for the facilitation of value-based, cost-effective purchasing of health care services by public and private purchasers and consumers, and includes provisions regarding claims and eligibility standards. In addition, Nebraska patients have the ability to petition hospitals for a written estimate of average charges for health care services, which promotes transparency and facilitates price shopping. One of Nebraska’s three insurance carriers, and the second largest cooperative non-profit under the ACA, is slated to be liquidated after financing dried up, which could be expected to lessen competition in the state.
2020 Legislative Session: 1/8/2020 - 5/30//2020 (2019-2020 term). *Current session bill updates are ongoing. Check back weekly for updates.