Law / United States / Nebraska
Ensuring Transparency in Prior Authorization Act, artificial-intelligence utilization review restriction
Neb. Rev. Stat. §§ 44-5432 to 44-5444
A citation is an address, not a summary. The first part names the law; what follows narrows it to the exact section, article or paragraph.
In force 8 months, effective 1 January 2026.
An AI risk obligations rule binding private bodies.
As of 8 September 2026.
What it requires
- Do not let an artificial intelligence-based algorithm be the sole basis of a decision to deny, delay, or modify a health care service based, in whole or in part, on medical necessity.
- Disclose to the Department of Insurance, to each health care provider in your network, to each enrollee, and on your public website whether artificial intelligence-based algorithms are used or will be used in the utilization review process.
- Make your automated utilization management system available for audit by the department, which may perform the audit itself or through a third-party entity.
If you get it wrong
Criminal exposureNo
What it reaches
Obligation class
Prohibition, Disclosure
Who checks it
Audit expectation
continuous
Who audits it
Regulator, Independent third party
What this law does
Drafted with AI from the cited sources under the direction of UnGovr staff. UnGovr holds editorial responsibility for this page.
LB 77 (2025), the Ensuring Transparency in Prior Authorization Act, bars a utilization review agent's artificial intelligence-based algorithm from being the sole basis of a decision to deny, delay, or modify health care services based, in whole or in part, on medical necessity.
The agent must disclose to the Department of Insurance, to each health care provider in its network, to each enrollee, and on its public website whether artificial intelligence-based algorithms are used or will be used in the utilization review process. The department may audit, itself or through a third-party entity, the agent's automated utilization management system. These provisions became operative on January 1, 2026.
When LexLint raises it
high_risk_decisions
Read the law
Nebraska Revised Statutes, official Nebraska Legislature text