NE LB1144

Expands the definition of "health plan" under the Medical Assistance Act to explicitly include service benefit plans, managed care organizations, pharmacy benefit managers, and other parties legally responsible for payment of health care claims.

Requires entities issuing health plans to respond to Nebraska Department of Health and Human Services requests regarding claims for health care items or services submitted within three years of the service date.

Prohibits health plan entities from denying department-submitted claims solely based on submission date, claim form type or format, or lack of proper point-of-sale documentation, provided the claim is filed within three years of service.

Grants the department six years from claim submission to commence enforcement actions related to disputed claims.

Mandates health plan entities provide requested coverage information within 30 days unless good cause is shown, with requests specifying the individual for whom information is sought.