LB77

Nebraska LB77 adopts the Ensuring Transparency in Prior Authorization Act, regulating prior authorization processes for health services.

Nebraska LB77 adopts the Ensuring Transparency in Prior Authorization Act, setting rules for prior authorization processes in health care. The act mandates uniform prior authorization request forms and requires health care providers to use these forms starting January 1, 2026. It prohibits utilization review entities from being compensated based on denial volumes and from basing incentives on denial rates. The act also mandates that new or amended prior authorization requirements be communicated to providers and enrollees at least 60 days before implementation.