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NE LB467
Bill
Status
1/21/2025
Primary Sponsor
Merv Riepe
Click for details
AI Summary
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Health carriers and utilization review agents must implement and maintain a prior authorization application programming interface (API) by January 1, 2028, in accordance with federal regulations at 45 C.F.R. 156.223(b)
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The prior authorization API requirement does not apply to requests for coverage of prescription drugs
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Amends Nebraska's Utilization Review Act (sections 44-5416 to 44-5431) to incorporate the new API requirement
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References federal regulation 45 C.F.R. 156.221(b)(1)(v) for the definition of "drug" as it existed on January 1, 2025
Legislative Description
Provide a duty to implement a prior authorization application programming interface under the Utilization Review Act
Last Action
Title printed. Carryover bill
1/7/2026