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Bill would require prior-authorization API for Nebraska commercial plans to match federal standards
Summary
LB467 would extend the federal prior-authorization application programming interface (API) requirement — already directed at Medicare Advantage and some federal exchange plans — to fully insured, state-regulated commercial plans. Supporters argued alignment reduces administrative burden; witnesses said ERISA/self-funded plans will remain outside.
Senator Merv Riepe introduced LB467, legislation that would require state-regulated commercial health plans to implement a prior-authorization application programming interface (API) similar to the federal rule already scheduled for Medicare Advantage and Medicaid managed-care plans.
"This bill continues our effort to improve the prior authorization process for health care providers, patients, and insurers," Riepe said in opening remarks, saying the federal rule requires an API for Medicare…
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