Nebraska 109th Legislature (2025-2026) Status: Enacted

LB 457 — Require anaphylaxis policies for school districts and licensed child care facilities and provide a limit on the amount an insured is required to pay by an insurance policy or benefit plan for epinephrine injectors

Last action — Approved by Governor on April 14, 2025

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Legislature
  4. ✓
    To Executive
  5. 5
    Enacted

This bill has been enacted into law. Introduced January 21, 2025. Enacted.

Signed by Governor Jim Pillen (Republican) on April 14, 2025.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 2 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

128 added · 146 removed

Plain-language change summary

The amendments to Bill LB 457 focus on improving how schools and child care programs handle severe allergic reactions, specifically anaphylaxis. The updated version now requires the Department of Health and Human Services, in consultation with the State Department of Education, to create model policies that schools can adopt, ensuring there are clear guidelines for preventing and managing anaphylaxis emergencies. Additionally, the bill limits how much individuals have to pay out-of-pocket for necessary epinephrine injectors, making essential medications more affordable for families. These changes are significant because they enhance the safety and well-being of children with severe allergies in educational settings.

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LB457 LB457 2025 LEGISLATURE OF NEBRASKA ONE HUNDRED NINTH LEGISLATURE FIRST SESSION LEGISLATIVE BILL 457 FINAL READING   Introduced by Bostar, 29.
LB457 LB457 2025 LEGISLATIVE BILL 457 Approved by the Governor April 14, 2025   Introduced by Bostar, 29.
Read first time January 21, 2025 Committee:
  A BILL FOR AN ACT relating to public health and welfare;
Banking, Commerce and Insurance A BILL FOR AN ACT relating to public health and welfare;
to limit the out-of-pocket cost of medically necessary epinephrine injectors to a covered individual as prescribed;
to limit the out-of- pocket cost of medically necessary epinephrine injectors to a covered individual as prescribed;
Be it enacted by the people of the State of Nebraska, -1- LB457 LB457 2025 Section 1.
Be it enacted by the people of the State of Nebraska, Section 1.
 (1) The Department of Health and Human Services shall in consultation with the State Department of Education develop model anaphylaxis policies available for use in school districts and licensed child care programs setting forth guidelines and procedures to be followed for the prevention of anaphylaxis and during a medical emergency resulting from anaphylaxis.
(1) The Department of Health and Human Services shall in consultation with the State Department of Education develop model anaphylaxis policies available for use in school districts and licensed child care programs setting forth guidelines and procedures to be followed for the prevention of anaphylaxis and during a medical emergency resulting from anaphylaxis.
and (e) A communication plan for discussion with children that have developed adequate verbal communication and comprehension skills and with the parents, guardians, and educational decisionmakers of all children attending the school district or licensed child care program about foods that are safe and unsafe and about strategies to avoid exposure to unsafe -2- LB457 LB457 2025 food.
and (e) A communication plan for discussion with children that have developed adequate verbal communication and comprehension skills and with the parents, guardians, and educational decisionmakers of all children attending the school district or licensed child care program about foods that are safe and unsafe and about strategies to avoid exposure to unsafe food.
The adopted policy may use the model policy for use in -3- LB457 LB457 2025 licensed child care programs developed pursuant to section 1 of this act as a guide.
The adopted policy may use the model policy for use in licensed child care programs developed pursuant to section 1 of this act as a guide.
(2) A program licensed pursuant to the Child Care Licensing Act that cares for a child with a known food or other allergy shall publish such program's anaphylaxis policy in the parent handbook, program manual, or other similar publication of the program which sets forth the procedures and standards of the program.
(2) A program licensed pursuant to the Child Care Licensing Act that cares -1- LB457 LB457 2025 for a child with a known food or other allergy shall publish such program's anaphylaxis policy in the parent handbook, program manual, or other similar publication of the program which sets forth the procedures and standards of the program.
(3) Nothing in this section shall be construed to change the personal rights, liabilities, and immunities granted pursuant to section 25-21,280 of certain individuals responding to or treating life- threatening asthma or a systemic allergic reaction.
(3) Nothing in this section shall be construed to change the personal rights, liabilities, and immunities granted pursuant to section 25-21,280 of certain individuals responding to or treating life-threatening asthma or a systemic allergic reaction.
(5) Nothing in this section shall be construed to change the -4- LB457 LB457 2025 personal rights, liabilities, and immunities granted pursuant to section 25-21,280 of certain individuals responding to or treating life- threatening asthma or a systemic allergic reaction.
(5) Nothing in this section shall be construed to change the personal rights, liabilities, and immunities granted pursuant to section 25-21,280 of certain individuals responding to or treating life-threatening asthma or a systemic allergic reaction.
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View plain text versions (3)

Action History

  1. Approved by Governor on April 14, 2025

  2. Passed on Final Reading 47-1*-1

  3. President/Speaker signed

  4. Presented to Governor on April 10, 2025

  5. Placed on Final Reading

  6. Advanced to Enrollment and Review for Engrossment

  7. Placed on Select File

  8. Advanced to Enrollment and Review Initial

  9. Placed on General File

  10. Notice of hearing for February 10, 2025

  11. Referred to Banking, Commerce and Insurance Committee

  12. Date of introduction

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 48 not signed on · 1 voted No

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (48)

48 members have not signed on to this bill.

Show all 48 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 47 Yea · 1 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 47101
Total 47101
% of votes cast 96%2%0%2%
How each member voted (49)
Member Party Vote
McKeon — Yea
Meyer — Yea
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Nay
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Not Voting
Robert Clements — Yea
Robert Dover — Yea
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Passed 31 Yea · 0 Nay · 18 Other
Party YeaNayPresentNot Voting
Unaffiliated 310018
Total 310018
% of votes cast 63%0%0%37%
How each member voted (49)
Member Party Vote
McKeon — Not Voting
Meyer — Not Voting
Ashlei Spivey — Yea
Barry DeKay — Not Voting
Beau Ballard — Not Voting
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Not Voting
Carolyn Bosn — Yea
Christy Armendariz — Not Voting
Dan Lonowski — Not Voting
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
George Dungan — Yea
Jana Hughes — Not Voting
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Not Voting
John Cavanaugh — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Machaela Cavanaugh — Yea
Margo Juarez — Not Voting
Megan Hunt — Not Voting
Merv Riepe — Not Voting
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Not Voting
Rick Holdcroft — Yea
Rita Sanders — Not Voting
Robert Clements — Not Voting
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Subjects

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Frequently asked questions

Who sponsors LB 457?
LB 457 is sponsored by Eliot Bostar.
What is the current status of LB 457?
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Where can I track LB 457?
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