This bill amends several sections of Nebraska's insurance laws to establish uniform prior authorization request forms for health care services and prescription drugs, which must be approved by November 1, 2025. Starting January 1, 2026, health care providers are required to use these approved forms, and utilization review agents must accept and process requests submitted using them, with certain exceptions. The bill also allows for exemptions if a utilization review agent implements an automated prior authorization system. Additionally, it mandates that health care providers must transition to using these electronic methodologies within ninety days of notification from the utilization review agent.

Furthermore, the bill modifies the structure and responsibilities of the Health Information Technology Board, which oversees the designated health information exchange. It expands the board's membership to include two representatives from the Department of Health and Human Services and a representative from an insurance company. The board is tasked with establishing criteria for data collection and ensuring compliance with privacy regulations. The bill also emphasizes the importance of real-time access to health information for providers and mandates that health insurance plans participate in the health information exchange while excluding claims data from the shared information. The original sections of the law being amended are repealed.

Statutes affected:
Introduced: 44-5437