Nebraska LB158 would require health carriers and pharmacy benefit managers to include certain payments in out-of-pocket maximums.

Nebraska LB158 mandates that health carriers and pharmacy benefit managers include payments made by enrollees or on their behalf in calculating out-of-pocket maximums and cost-sharing requirements. This applies to health benefit plans entered into, amended, extended, or renewed on or after January 1, 2026. The bill aims to ensure transparency and fairness in how out-of-pocket costs are calculated, affecting health benefit plan enrollees.

Nebraska LB158 would require health carriers and pharmacy benefit managers to include certain payments in out-of-pocket maximums.

Nebraska LB158 mandates that health carriers and pharmacy benefit managers include payments made by enrollees or on their behalf in calculating out-of-pocket maximums and cost-sharing requirements. This applies to health benefit plans entered into, amended, extended, or renewed on or after January 1, 2026. The bill aims to ensure transparency and fairness in how out-of-pocket costs are calculated, affecting health benefit plan enrollees.