In Review: On Tuesday, two coverage mandate bills, LB 780 – coverage of eating disorders and LB 1222 – coverage of Alzheimer’s disease and related dementia, were heard in the Banking, Commerce, and Insurance Committee, and PCMA submitted written comment letters on each bill. These
Up Next: Next Tuesday, two coverage mandate bills (LB 780 – coverage of eating disorders and LB 1222 – coverage of Alzheimer’s disease and related dementia) will be heard in the Banking, Commerce, and Insurance Committee, and members have requested that PCMA submit comment letters
In Review: There was a hearing on Tuesday in the Banking, Commerce, and Insurance Committee on LB 1062 , which is a clean-up of the Pharmacy Benefit Manager Licensure and Regulation Act. An amendment was offered dealing with the “Unfair Insurance Trade Practices
In Review: The Nebraska legislature started its 2026 legislative session on Wednesday, January 7th. Bills are being filed, and so far, there have been no PBM issues reported. If you have any questions, please contact Michelle Mack at mmack@pcmanet.org.
In Review: Last week, the Banking, Commerce, and Insurance Committee held three days of hearings. The committee invited pharmacists, PSAOs, Pharma, hospitals, physicians, health plans, and PBMs to make presentations. At the conclusion, the committee gathered all the parties for
In Review: LB 198 passed unanimously last week (49-0). We were able to get several important changes to the bill before passage, including the removal of reimbursing pharmacies based on their invoices. The final bill includes phasing out spread pricing
In Review: Legislature Bill 198 (ancillary mail-order, specialty, phase our spread pricing) advanced to enrollment last week. With no further changes possible, we expect the bill to pass in the coming weeks. If you have any questions, please contact Bill
In Review: Along with the Nebraska Insurance Federation and Blue Cross Blue Shield of Nebraska, we have been working with stakeholders on potential amendments to LB 198. The legislation originally included reimbursing pharmacists based on their invoices, a ban on
In Review: The Nebraska Pharmacists Association provided responses to our suggested amendments to LB 198 (spread, reimbursement, mail, steering, specialty). They still want a ban on spread pricing and contend the terms and conditions for specialty pharmacies are such that only
In Review: The Nebraska Hospital Association shared their opposition to the inclusion of “terms and conditions” in our requested amendments to LB 198 (ban on spread pricing, mail order, steering, accreditation, and reimbursement based on pharmacy acquisition costs). While the
