NE LB1222

Requires individual and group health insurance policies and self-funded employee benefit plans to cover medically necessary treatment for acquired brain injuries by January 1, 2027, including cognitive rehabilitation therapy, neurofeedback therapy, community reintegration services, and post-acute residential treatment.

Prohibits lifetime or annual coverage limitations inconsistent with accepted medical necessity standards, and requires that inpatient rehabilitation limits be separate from post-acute rehabilitation limits.

Establishes an expedited appeal process through the Department of Insurance for denied acquired brain injury claims, with resolution required within 5 business days and continued coverage during appeals if interruption risks regression.

Mandates coverage by January 1, 2028 for FDA-approved diagnostic testing and treatments to slow the progression of Alzheimer's disease and related dementia under both private insurance and Medicaid, with no step-therapy requirements.

Requires the Department of Insurance to publish annual compliance reports summarizing coverage determinations, denials, and appeals for acquired brain injury services.