Nebraska Legislation

This bill introduced the Transitional Health Insurance Program, which would have provided health coverage for individuals who are not eligible for Medicaid but do not make enough money to qualify for subsidies in the marketplace. The bill required that the Transitional Health Insurance Program comply with the Federal Parity Law.

 This bill tried to add a section to the insurance law about autism coverage. LB 254 from the same legislative session did add a very similar section to the insurance law about autism coverage. That section of the law is summarized at the bottom of this page under “Nebraska Parity Law.” Here is how this bill is different than what is currently in the law:

• Has a $70,000 annual maximum for “behavioral health treatment” (applied behavior analysis ) for the first 3 years of treatment and then a $20,000 annual maximum for every year after that through age 20
• Only allows insurance plans to review a child’s treatment plan once every 12 months
• Has a slightly different way of exempting individual plans and small employer fully-insured plans that are required to cover essential health benefits under the Affordable Care Act.

This bill tried to change the state public assistance law so that alternative benefit plans would have to comply with the Federal Parity Law.

This bill tried to add a section to the state insurance law about Autism coverage. LB 254 in the 2013-2014 legislative session eventually did add a section to the law about autism coverage. That section of the law is summarized at the bottom of this page under “Nebraska Parity Law.” Here is how this bill is different than what is currently in the section of the state insurance law about autism:

• Specifically lists autistic disorder, Asperger’s disorder, pervasive developmental disorder not otherwise specified as covered conditions
• Has no language exempting individual plans and small employer fully-insured plans that are required to cover essential health benefits under the Affordable Care Act.
• Has a $70,000 annual maximum for “behavioral health treatment” (applied behavior analysis ) through age 9 and then a $20,000 annual maximum for every year after that
• Only allows insurance plans to review a child’s treatment plan once every 12 months