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

LB 332 — Provide for assistant funeral directors, change scope of practice and regulatory provisions regarding funeral directing and embalming, hearing instrument specialists, and audiologists, change membership provisions for the Board of Pharmacy, change provisions regarding delegated dispensing permits and prescription refills, provide medicaid coverage for psychology services, and establish the Rural Health Opportunity Program

Last action — Provisions/portions of LB119 amended into LB332 by AM828

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

This bill has been enacted into law. Introduced January 16, 2025. Enacted.

Signed by Governor Jim Pillen (Republican) on May 21, 2025.

Prognosis

Advancing 54% · 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.

  • Mixed recorded votes

    2 passed, 3 failed in 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

991 added · 1135 removed

Plain-language change summary

The amended version of Bill LB 332 includes final approval by the Governor on May 20, 2025, and makes several key changes regarding public health and welfare. It introduces provisions for assistant funeral directors, updates regulations for hearing instrument specialists, and requires Medicaid to cover psychology services from certain providers. Additionally, the bill aims to support rural health initiatives and offers tuition waivers for eligible students, which can help enhance access to healthcare education and services in Nebraska. These changes matter because they improve healthcare delivery and ensure that more resources are available to meet the needs of communities across the state.

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ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 E AND R AMENDMENTS TO LB 332   Introduced by Guereca, 7, Chairman Enrollment and Review 1.
LB332 LB332 2025 LEGISLATIVE BILL 332 Approved by the Governor May 20, 2025   Introduced by Hardin, 48.
Strike the original sections and all amendments thereto and insert the following new sections:
  A BILL FOR AN ACT relating to public health and welfare;
Section 1.
to amend sections 38-511, 38-1401, 38-1402, 38-1413, 38-1424, 38-1501, 38-1502, 38-1504, 38-1505, 38-1508, 38-1510, 38-1511, 38-1514, 38-2849, and 38-2884, Reissue Revised Statutes of Nebraska, and sections 38-1509, 38-1512, 38-1513, 38-28,104, and 68-911, Revised Statutes Cumulative Supplement, 2024;
to provide, change, and eliminate definitions;
to provide for assistant funeral directors;
to provide for credentialing, scope of practice, collaborative agreements, restrictions on practice, and disciplinary actions under the Funeral Directing and Embalming Practice Act;
to change provisions relating to licensure and regulation of hearing instrument specialists under the Hearing Instrument Specialists Practice Act;
to change membership requirements for the Board of Pharmacy;
to change requirements relating to compounding and delegated dispensing permits;
to provide requirements for certain prescription refills as prescribed;
to require medicaid coverage for psychology services provided by certain practitioners as prescribed;
to require a memorandum of understanding regarding a Rural Health Opportunity Program;
to provide for tuition waivers for eligible students as prescribed;
to state intent regarding appropriations;
to eliminate provisions relating to applicability of the Hearing Instrument Specialists Practice Act;
to harmonize provisions;
to provide operative dates;
to repeal the original sections;
to outright repeal sections 38-512 and 38-1506, Reissue Revised Statutes of Nebraska;
and to declare an emergency.
Be it enacted by the people of the State of Nebraska, Section 1.
38-511 Nothing in the Audiology and Speech-Language Pathology Practice Act shall be construed to prevent or restrict:
38-511 Nothing in the Audiology and Speech-Language Pathology Practice Act shall be construed to prevent or restrict:
-1- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (5) The clinical practice in audiology or speech-language pathology required for students enrolled in an accredited college or university pursuing a major in audiology or speech-language pathology, if such clinical practices are supervised by a person licensed to practice audiology or speech-language pathology and if the student is designated by a title such as student clinician or other title clearly indicating the training status;
(5) The clinical practice in audiology or speech-language pathology required for students enrolled in an accredited college or university pursuing a major in audiology or speech-language pathology, if such clinical practices are supervised by a person licensed to practice audiology or speech-language pathology and if the student is designated by a title such as student clinician or other title clearly indicating the training status;
or (6) The utilization of a speech aide or other personnel employed by a public school, educational service unit, or other private or public educational institution working under the direct supervision of a credentialed speech-language pathologist.
or (6) The utilization of a speech aide or other personnel employed by a public school, educational service unit, or other private or public educational institution working under the direct supervision of a licensed credentialed speech-language pathologist.
38-1402 For purposes of the Funeral Directing and Embalming Practice Act and elsewhere in the Uniform Credentialing Act, unless the context otherwise requires, the definitions found in sections 38-1403 to 38-1413 and section 4 of this act apply.
38-1402 For purposes of the Funeral Directing and Embalming Practice Act and elsewhere in the Uniform Credentialing Act, unless the context otherwise requires, the definitions found in sections 38-1403 to 38-1413 and section 4 of this act apply.
Section 38-1413, Reissue Revised Statutes of Nebraska, is amended to read:
Section 38-1413, Reissue Revised Statutes of Nebraska, is amended -1- LB332 LB332 2025 to read:
38-1413 Supervision means the direct oversight or the easy availability of the supervising funeral director and embalmer.
38-1413 Supervision means the direct oversight or the easy availability of the supervising funeral director and embalmer.
The first twenty-five funeral assists and embalmings performed by an apprentice shall be completed under direct onsite supervision of the supervising -2- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 funeral director and embalmer.
The first twenty-five funeral assists and embalmings performed by an apprentice shall be completed under direct onsite supervision of the supervising funeral director and embalmer.
A funeral director who is employing an assistant funeral director shall enter into a collaborative agreement with the assistant funeral director, supervise the assistant funeral director, and keep -3- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 records of the collaborative agreement and the functions of the assistant funeral director.
 A funeral director who is employing an assistant funeral director shall enter into a collaborative agreement with the assistant funeral director, supervise the assistant funeral director, and keep records of the collaborative agreement and the functions of the assistant funeral director.
38-1424 (1) In addition to the grounds for disciplinary action found in sections 38-178 and 38-179, a credential issued under the Funeral Directing and Embalming Practice Act may be denied, refused renewal, limited, revoked, or suspended or have other disciplinary measures taken against it in accordance with section 38-196 when the applicant or credential holder is found guilty of any of the following acts or offenses:
38-1424 (1) In addition to the grounds for disciplinary action found in sections 38-178 and 38-179, a credential issued under the Funeral Directing and Embalming Practice Act may be denied, refused renewal, limited, revoked, or suspended or have other disciplinary measures taken against it in accordance with section 38-196 when the applicant or credential holder is found guilty of any of the following acts or offenses:
(f) Violations of any state law, municipal ordinance, or rule or regulation of the department or other body having regulatory powers, -4- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 relating to the handling, custody, care, or transportation of dead human bodies;
(f) Violations of any state law, municipal ordinance, or rule or regulation of the department or other body having regulatory powers, relating to the handling, custody, care, or transportation of dead human bodies;
38-1501 Sections 38-1501 to 38-1518 and sections 14, 15, and 25 to 34 of this act shall be known and may be cited as the Hearing Instrument Specialists Practice Act.
38-1501 Sections 38-1501 to 38-1518 and sections 14 and 23 to 32 of this -2- LB332 LB332 2025 act shall be known and may be cited as the Hearing Instrument Specialists Practice Act.
-5- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 Sec.
Sec.
38-1502 For purposes of the Hearing Instrument Specialists Practice Act and elsewhere in the Uniform Credentialing Act, unless the context otherwise requires, the definitions found in sections 38-1503 to 38-1507 and sections 14 and 15 of this act apply.
38-1502 For purposes of the Hearing Instrument Specialists Practice Act and elsewhere in the Uniform Credentialing Act, unless the context otherwise requires, the definitions found in sections 38-1503 to 38-1507 and section 14 of this act apply.
Hearing instrument does not include a wearable instrument or device with an implantable component such as a wearable processor for a cochlear implant or bone-anchored implant.
Medical liaison means an otolaryngologist or a licensed physician, if no otolaryngologist is available, with whom a cooperative arrangement for consultation is established by a hearing instrument specialist.
Sec.
16.
38-1505 Practice of ordering the use and fitting of hearing instruments includes the following activities:
38-1505 (1) Practice of ordering the use and fitting of hearing instruments includes the following activities:
(1) Eliciting patient case histories, including medical history, otological history, pharmacological history, amplification history, and patient attitudes and expectations;
(a) Eliciting patient case histories, including medical history, otological history, pharmacological history, amplification history, and patient attitudes and expectations;
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(2) Administering otoscopy and, if required, cerumen removal for the purpose of identifying possible otological conditions, including, but not limited to, any of the conditions related to warnings found in the regulations of the federal Food and Drug Administration, 21 C.F.R.
(b) Administering otoscopy and, if required, cerumen removal for the purpose of identifying possible otological conditions, including, but not limited to, any of the conditions related to warnings found in the regulations of the federal Food and Drug Administration, 21 C.F.R.
801.422, as such regulations existed on January 1, 2025, which may -6- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 indicate the need for a medical referral or which may have a bearing on outcomes or recommendations;
801.422, as such regulations existed on January 1, 2025, which may indicate the need for a medical referral or which may have a bearing on outcomes or recommendations;
(3) Administering and interpreting tests of human hearing performed with an audiometer, including other appropriate objective and subjective methodology and measures;
(c) Administering and interpreting tests of human hearing performed with an audiometer, including other appropriate objective and subjective methodology and measures, for purposes of ordering and fitting hearing aids;
(4) Determining candidacy for hearing instruments, and discussing the results of a human hearing test with the individual to inform the individual about potential options for addressing the individual's hearing loss, including hearing instruments, hearing-assistive devices such as cochlear implants, or other medical interventions, and facilitating appropriate referrals, if needed;
(d) Determining candidacy for hearing instruments, and discussing the results of a human hearing test with the individual to inform the individual about potential options for addressing the individual's hearing loss, including hearing instruments, hearing-assistive devices, or other medical interventions, and facilitating appropriate referrals, if needed;
(5) Ordering, selecting, or fitting appropriate hearing instruments and assistive devices, including appropriate technology, programming parameters, and special custom earpiece applications, as indicated;
(e) Ordering, selecting, or fitting appropriate hearing instruments and assistive devices, including appropriate technology, programming parameters, and special custom earpiece applications, as indicated;
(6) Assessing hearing instrument efficacy utilizing appropriate fitting verification methodology and equipment, which may include real- ear measures or speech mapping, and electroacoustic analysis equipment;
(f) Assessing hearing instrument efficacy utilizing appropriate fitting verification methodology and equipment, which may include real-ear measures or speech mapping, and electroacoustic analysis equipment;
(7) Assessing hearing instrument benefits through appropriate validation measures, which may include communication assessment questionnaires or speech audiometry;
(g) Assessing hearing instrument benefits through appropriate validation measures, which may include communication assessment questionnaires or speech audiometry;
(8)(a) Taking ear impressions or electronic scans by any method used for the purpose of creating earmolds and (b) preparing earmolds for hearing instruments, assistive devices, telecommunications applications, ear protection, and other related applications;
(h)(i) Taking ear impressions or electronic scans by any method used for the purpose of creating earmolds and (ii) preparing earmolds for hearing instruments, assistive devices, telecommunications applications, ear protection, and other related applications;
(9) Ordering and modifying earmolds and auditory equipment to meet a patient's needs;
(i) Ordering and modifying earmolds and auditory equipment, excluding FM transmitters, to meet a patient's needs;
(10) Providing services in the use and care of hearing instruments and assistive devices, including listening strategies and other approaches to foster optimal patient results;
(j) Providing services in the use and care of hearing instruments and assistive devices, including listening strategies and other approaches to foster optimal patient results;
(11) Providing tinnitus care;
(k) Providing supervision and inservice training of those entering the dispensing profession;
(12) Providing supervision and inservice training of those entering -7- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 the dispensing profession;
(l) Providing post-fitting care and services and hearing instrument care and repair services;
(13) Providing post-fitting care and services and hearing instrument care and repair services;
or (m) Any other act of hearing assessment pertaining to hearing testing, ordering the use of hearing instruments, or the selling, renting, leasing, and delivery of hearing instruments.
or (14) Any other act of hearing assessment pertaining to hearing testing, ordering the use of hearing instruments, or the selling, renting, leasing, and delivery of hearing instruments.
(2) Practice of ordering the use and fitting of hearing instruments does not include:
(a) Evaluation, diagnosis, management, or treatment of auditory or vestibular conditions;
(b) Provision of tinnitus evaluation, treatment, or management;
(c) Interpretation of tests of human hearing for any purpose beyond the selection and fitting of hearing aids;
(d) Removal of foreign bodies from the ear;
and (e) Testing and treatment of auditory processing disorders, including the provision of aural rehabilitation or auditory training.
A dispenser, at the request of a physician or a member of related professions, may make audiograms for the professional's use in consultation with the hard-of-hearing.
A dispenser, at the request of a physician or a member of related professions, may make audiograms for the professional's use in consultation with the hard- of-hearing.
17.
16.
Section 38-1506, Reissue Revised Statutes of Nebraska, is amended to read:
Section 38-1508, Reissue Revised Statutes of Nebraska, is amended -3- LB332 LB332 2025 to read:
38-1506 Providing tinnitus care means the selection of tinnitus care devices, as contained within the hearing instruments, and tinnitus maskers, which shall be used only in accordance with the audiology department staff of the manufacturer of the devices.
38-1508 The board shall consist of five professional members and one public member appointed pursuant to section 38-158.
Sell, sale, or dispense means any transfer of title or of the right to use by lease, bailment, or any other contract, excluding (1) wholesale transactions with distributors or dispensers and (2) distribution of hearing instruments by nonprofit service organizations at no cost to the recipient for the hearing instrument.
Sec.
18.
Section 38-1508, Reissue Revised Statutes of Nebraska, is amended to read:
38-1508 The board shall consist of five professional members and one public member appointed pursuant to section 38-158.
The professional members shall consist of three licensed hearing instrument specialists, one otolaryngologist, and one audiologist until one licensed -8- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 hearing instrument specialist vacates his or her office or his or her term expires, whichever occurs first, at which time the professional members of the board shall consist of three licensed hearing instrument specialists, at least one of whom does not hold a license as an audiologist, one otolaryngologist, and one audiologist.
The professional members shall consist of three licensed hearing instrument specialists, one otolaryngologist, and one audiologist until one licensed hearing instrument specialist vacates his or her office or his or her term expires, whichever occurs first, at which time the professional members of the board shall consist of three licensed hearing instrument specialists, at least one of whom does not hold a license as an audiologist, one otolaryngologist, and one audiologist.
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17.
A person represents that the person is a hearing instrument specialist if the person holds out to the public that the person engages in the practice of ordering the use and fitting of hearing instruments, by any means, or by any service or function performed, directly or indirectly, or by using the term audioprosthologist, hearing center, hearing instrument center, hearing instrument office, hearing instrument specialist, hearing office, or any variation or synonym which expresses, employs, or implies these terms or functions.
A person holding a license issued under the act prior to August 30, 2009, may continue to practice under such license until it expires under the terms -9- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 of the license.
A person holding a license issued under the act prior to August 30, 2009, may continue to practice under such license until it expires under the terms of the license.
(2) A licensed audiologist who maintains a practice pursuant to (a) licensure as an audiologist, or (b) a privilege to practice audiology under the Audiology and Speech-Language Pathology Interstate Compact, in which hearing instruments are regularly dispensed, or who intends to maintain such a practice, shall be exempt from the requirement to be licensed as a hearing instrument specialist if the audiologist maintains a practice in which hearing instruments are regularly dispensed, or intends to maintain such a practice, pursuant to:
(2) A licensed audiologist who maintains a practice pursuant to (a) licensure as an audiologist, or (b) a privilege to practice audiology under the Audiology and Speech-Language Pathology Interstate Compact, in which hearing instruments are regularly dispensed, or who intends to maintain such a practice, shall be exempt from the requirement to be licensed as a hearing instrument specialist.
(a) Licensure as an audiologist;
or (b) A privilege to practice audiology under the Audiology and Speech-Language Pathology Interstate Compact.
(b) Each such organization shall file annually with the department, on a form provided by the department, a list of the licensed hearing instrument specialists employed by the organization and a statement, on a form provided by the department, that the organization agrees to comply with the rules and regulations adopted and promulgated pursuant to section 38-126.
(b) Each such organization shall file annually with the department, on a form provided by the department, a list of the licensed hearing instrument specialists employed by the organization.
(4) Nothing in the act shall prohibit the holder of a hearing instrument specialist license from the fitting and sale of wearable instruments or devices designed for or offered for the purpose of -10- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 conservation or protection of hearing.
The department may adopt and promulgate rules and regulations as necessary to carry out this section.
(4) Nothing in the act shall prohibit the holder of a hearing instrument specialist license from the fitting and sale of wearable instruments or devices designed for or offered for the purpose of conservation or protection of hearing.
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38-1510 (1) A licensed hearing instrument specialist who provides tinnitus care or cerumen removal shall only provide such service to an individual who is eighteen years of age or older.
38-1510 (1) A licensed hearing instrument specialist shall only provide services to an individual who is eighteen years of age or older unless prohibited by federal law.
(4) (2) The Hearing Instrument Specialists Practice Act does act shall not apply to a person who is a physician licensed to practice in this state, except that such physician shall not delegate the authority to fit and dispense hearing instruments unless the person to whom the authority is delegated is licensed as a hearing instrument specialist under the act.
(4) (2) The Hearing Instrument Specialists Practice Act does act shall not apply to a person who is a physician or audiologist licensed to practice in this state, except that such physician or audiologist shall not delegate the authority to fit and dispense hearing instruments unless the person to whom the authority is delegated is licensed as a hearing instrument specialist under the act.
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(2) A licensed hearing instrument specialist shall, at the time of delivery of the hearing instrument, provide the patient with a receipt containing the signature, regular business address, and license number of the licensee;
(2)(a) A licensed hearing instrument specialist shall, at the time of delivery of the hearing instrument, provide the patient with a receipt containing (i) the signature, regular business address, and license number of the licensee, (ii) the brand, model, manufacturer or manufacturer identification code, and serial number of the hearing instrument, and (iii) the amount charged for the hearing instrument.
the brand, model, manufacturer or manufacturer identification code, and serial number of the hearing instrument;
(b) The receipt shall indicate that the hearing device is classified as programmed with one of the following:
and the amount charged for the hearing instrument.
(i) Locked software - this device utilizes locked software that is available to limited providers.
The receipt shall also specify whether the hearing instrument is new, used, or rebuilt, as provided in -11- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 21 C.F.R.
The purchase of this device will require the -4- LB332 LB332 2025 user to have the device programmed by a provider or chain store that has been granted proprietary access to the software.
801.422, as such regulation existed on January 1, 2025;
In addition, the availability of any part or service for this device is limited to the provider or chain store that has such proprietary access;
the length of time and other terms of the guarantee;
or (ii) Unlocked software - this device utilizes unlocked software that is readily available to any provider or location licensed to provide hearing health care.
and by whom the hearing instrument is guaranteed.
(c) The receipt shall also specify (i) whether the hearing instrument is new, used, or rebuilt, as provided in 21 C.F.R.
801.422, as such regulation existed on January 1, 2025, (ii) the length of time and other terms of the guarantee, and (iii) by whom the hearing instrument is guaranteed.
If a patient purchases a hearing instrument from a licensed hearing instrument specialist outside of the licensee's regular place of business and the regular place of business is beyond a reasonable distance, as determined by the board, the licensed hearing instrument specialist shall provide the patient with the address of an affiliate location with which the licensee is associated that is within a reasonable distance, at which a licensed hearing instrument specialist or audiologist is available for fitting services.
If a patient purchases a hearing instrument from a licensed hearing instrument specialist outside of the licensee's regular place of business and the regular place of business is not within a reasonable distance, as determined by the board, the licensed hearing instrument specialist shall provide the patient with the address of an affiliate location with which the licensee is associated that is within a reasonable distance, at which a licensed hearing instrument specialist or audiologist is available for fitting services.
(5) Any seller offering for sale or selling a hearing instrument in this state or to a resident of this state shall make available in this state an in-person fitting of the hearing instrument by a licensed hearing instrument specialist in this state prior to the sale.
(5) Any seller offering for sale or selling a hearing instrument in this state or to a resident of this state shall make available in this state an in- person fitting of the hearing instrument by a licensed hearing instrument specialist in this state prior to the sale.
(6) A receipt provided pursuant to this section (2) Such receipt -12- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 shall bear in no smaller type than the largest used in the body copy portion the following:
(6) A receipt provided pursuant to this section (2) Such receipt shall bear in no smaller type than the largest used in the body copy portion the following:
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(iii) Has a master's or doctoral degree in audiology from an accredited institution approved by the board;
(iii) Has held a current, unsuspended, and unrevoked license to dispense hearing instruments from another jurisdiction for at least twelve of the last eighteen months prior to taking the examination;
(iv) Has held a current, unsuspended, and unrevoked license to dispense hearing instruments from another jurisdiction for at least twelve of the last eighteen months prior to taking the examination;
(iv) Is certified by the National Board for Certification in Hearing Instrument Sciences at the time of taking the examination;
(v) Is certified by the National Board for Certification in Hearing Instrument Sciences at the time of taking the examination;
or (v) Holds an advanced credential offered by the International Hearing Society at the time of taking the examination.
or (vi) Holds an advanced credential offered by the International Hearing Society at the time of taking the examination.
(2) The department, with the recommendation of the board, may determine whether a person who has completed a licensure program outside of the United States may take the examination.
-13- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (2) The department, with the recommendation of the board, may determine whether completion of a licensure program from outside of the United States qualifies a person to take the examination in this state.
(3) The department, upon recommendation of the board, may waive components of the examination pursuant to section 38-1514 for licensure as a hearing instrument specialist if the person has passed the same examination as provided in section 38-1514 or a substantially equivalent examination as determined by the board.
(3) The department, upon recommendation of the board, may waive either or both components of the examination pursuant to section 38-1514 for licensure as a hearing instrument specialist if the person has passed the same examination as provided in section 38-1514 or a substantially equivalent examination as determined by the board.
Sec.
-5- LB332 LB332 2025 Sec.
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38-1513 (1) The department, with the recommendation of the board, shall issue a temporary training license to any person who has met the requirements for licensure as a hearing instrument specialist pursuant to subdivisions (1)(a) and (b) subsection (1) of section 38-1512.
38-1513 (1) The department, with the recommendation of the board, shall issue a temporary training license to any person who has met the requirements for licensure as a hearing instrument specialist pursuant to subdivisions (1) (a) and (b) subsection (1) of section 38-1512.
A person holding a valid license as a hearing instrument specialist shall be responsible for the supervision -14- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 and training of such applicant and shall maintain adequate personal contact with him or her.
A person holding a valid license as a hearing instrument specialist or an audiologist shall be responsible for the supervision and training of such applicant and shall maintain adequate personal contact with him or her.
(3) If a person who holds a temporary training license under this section has not successfully passed the licensing examination within twelve months of the date of issuance of the temporary training license, the temporary training license may be renewed or reissued for a twelve- month period.
(3) If a person who holds a temporary training license under this section has not successfully passed the licensing examination within twelve months of the date of issuance of the temporary training license, the temporary training license may be renewed or reissued for a twelve-month period.
A renewal or reissuance may take place any time after the expiration of the first twelve-month period.
A renewal or reissuance may take place any time after the expiration of the first twelve- month period.
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38-1514 (1) The examination required by section 38-1512 for licensure as a hearing instrument specialist shall be comprised of two separate components:
38-1514 (1) The examination required by section 38-1512 for licensure as a hearing instrument specialist shall be comprised of:
(a) A written or computer-based, psychometrically valid, competency examination approved by the board that tests the examinee for knowledge fundamental to the practice of ordering the use and fitting of hearing instruments, which may be an examination developed and maintained by the International Hearing Society;
(a) A written or computer-based, psychometrically valid, competency examination approved by the board that tests the examinee for knowledge fundamental to the practice of ordering the use and fitting of hearing instruments;
and (b) A practical examination approved by the board that requires the examinee to demonstrate competence in the practice of ordering the use and fitting of hearing instruments, which may be an examination developed and maintained by the International Hearing Society.
(b) A practical examination approved by the board that requires the examinee to demonstrate competence in the practice of ordering the use and fitting of hearing instruments;
and (c) A jurisprudence examination approved by the board.
(c) If an examinee fails the jurisprudence examination or competency examination, the examinee shall retake the entire examination upon -15- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 payment of the examination fee.
(c) If an examinee fails the jurisprudence examination or competency examination, the examinee shall retake the entire examination upon payment of the examination fee.
The qualifying examination provided in section 38-1512 shall be designed to demonstrate the applicant's adequate technical qualifications by:
(3) The qualifying examination provided in section 38-1512 shall be designed to demonstrate the applicant's adequate technical qualifications by:
(1) Tests of knowledge in the following areas as they pertain to the fitting and sale of hearing instruments:
(a) (1) Tests of knowledge in the following areas as they pertain to the practice of ordering the use and fitting and sale of hearing instruments:
(a) Basic physics of sound;
(i) (a) Basic physics of sound;
(b) The anatomy and physiology of the ear;
(ii) (b) The anatomy and physiology of the ear;
and (c) The function of hearing instruments;
and (iii) (c) The function of hearing instruments;
and (2) Practical tests of proficiency in the following techniques as they pertain to the fitting of hearing instruments:
and (b) (2) Practical tests of proficiency in the following techniques as they pertain to the fitting of hearing instruments:
(a) Pure tone audiometry, including air conduction testing and bone conduction testing;
(i) (a) Pure tone audiometry, including air conduction testing and bone conduction testing;
(b) Live voice or recorded voice speech audiometry;
(ii) (b) Live voice or recorded voice speech audiometry;
(c) Masking when indicated;
(iii) (c) Masking when indicated;
(d) Recording and evaluation of audiograms and speech audiometry to determine proper selection and adaptation of a hearing instrument;
(iv) (d) Recording and evaluation of audiograms and speech audiometry to determine proper selection and adaptation of a hearing instrument;
and (e) Taking earmold impressions.
and (v) (e) Taking earmold impressions.
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(1) A licensed hearing instrument specialist shall not engage in the practice of ordering the use and fitting of hearing instruments with respect to a patient without first having conducted a face-to-face hearing assessment for the patient.
 (1) A licensed hearing instrument specialist shall not engage in the practice of ordering the use and fitting of hearing instruments with respect to a patient without having conducted a face-to-face hearing assessment for the patient or having conducted or reviewed a valid and current hearing assessment for the patient that is dated within six months and signed by a licensed hearing instrument specialist or audiologist.
A hearing assessment conducted in accordance with this subsection shall be valid for six months.
Such hearing assessment shall include the following procedures, or modified procedures as required by the patient's cognitive function or health and appropriate to technological developments as determined by the board:
Such hearing assessment shall include at least the following procedures, and any additional or modified procedures appropriate to -16- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 technological developments as determined by the board:
(c) Testing to determine the type and degree of hearing loss that includes pure-tone air conduction testing at two hundred fifty hertz, five hundred hertz, one thousand hertz, two thousand hertz, four thousand hertz, and eight thousand hertz and bone conduction testing at five hundred hertz, one thousand hertz, two thousand hertz, and four thousand hertz;
(c) Testing to determine the type and degree of hearing loss that includes (i) pure-tone air conduction testing at two hundred fifty hertz, five hundred hertz, one thousand hertz, two thousand hertz, four thousand hertz, and eight thousand hertz, (ii) bone conduction testing at five hundred hertz, one thousand hertz, two thousand hertz, and four thousand hertz, and (iii) appropriate inter-octave testing when needed if the octave to adjacent octave threshold difference is greater than fifteen decibels;
(e) Appropriate testing to determine speech reception thresholds, word recognition scores, most comfortable listening levels, uncomfortable loudness levels, frequency-specific loudness discomfort levels, ability to understand speech in noise, and the selection of the best fitting arrangement for maximum hearing instrument benefit when indicated;
(e) Appropriate testing to determine speech reception thresholds, word -6- LB332 LB332 2025 recognition scores, most comfortable listening levels, uncomfortable loudness levels, frequency-specific loudness discomfort levels, ability to understand speech in noise, and the selection of the best fitting arrangement for maximum hearing instrument benefit when indicated;
and (f) Other speech tests commonly used to assess human hearing acuity.
and (f) Other speech tests commonly used to assess human hearing acuity for ordering the use and fitting of hearing instruments.
26.
24.
 A licensed hearing instrument specialist shall demonstrate the benefit of a hearing instrument fitting by using objective measures, such as aided and unaided sound field testing, real-ear measurements, speech mapping, or electroacoustic analysis, or any additional or modified procedures appropriate to technological developments as determined and approved by the board.
A licensed hearing instrument specialist shall demonstrate the benefit of a hearing instrument fitting by using objective measures.
27.
25.
 A licensed hearing instrument specialist shall determine a patient's benefit with the hearing instrument fitting using validation measures, such as speech audiometry and validated communication assessment questionnaires, or any other method approved by the board.
A licensed hearing instrument specialist shall determine a patient's benefit with the hearing instrument fitting using validation measures, such as speech audiometry and validated communication assessment questionnaires, or any other method approved by the board for ordering the use and fitting of hearing instruments.
28.
26.
 (1) A licensed hearing instrument specialist shall use the -17- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 following equipment as part of any hearing testing conducted for the purpose of dispensing of hearing instruments:
(1) A licensed hearing instrument specialist shall use the following equipment as part of any hearing testing conducted for the purpose of dispensing of hearing instruments:
and (b) A speech audiometer or a master hearing instrument in order to perform speech tests as required in subdivision (1)(e) of section 25 of this act.
and (b) A speech audiometer that has been calibrated within the twelve months preceding the test and that meets the specifications set forth under this section.
(2) A licensed hearing instrument specialist shall provide for the calibration of the equipment utilized for hearing assessments required under section 25 of this act and in the dispensing of hearing instruments at least annually in conformance with current standards of the American National Standards Institute or such other quality control standards established by the board.
(2) A licensed hearing instrument specialist shall provide for the calibration of the equipment utilized for hearing assessments required under section 23 of this act and in the dispensing of hearing instruments at least annually in conformance with current standards of the American National Standards Institute for ordering the use and fitting of hearing instruments.
(b) Instrumental technology shall be maintained in proper working -18- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 order and be properly calibrated according to accepted standards;
(b) Instrumental technology shall be maintained in proper working order and be properly calibrated according to accepted standards;
29.
27.
(1) Prior to engaging in cerumen removal, a licensed hearing instrument specialist shall have held a valid, undisciplined license as a licensed hearing instrument specialist for a minimum of two consecutive years and provide the board with evidence of (a) successful completion of a cerumen removal course pursuant to subsection (3) of this section, (b) professional liability insurance pursuant to subsection (5) of this section, and (c) an arrangement with a medical liaison pursuant to subsection (2) of this section.
(1) Prior to engaging in cerumen removal, a licensed hearing instrument specialist shall have held a valid, undisciplined license as a licensed hearing instrument specialist for a minimum of two consecutive years and provide the board with evidence of (a) successful completion of a cerumen removal course pursuant to subsection (3) of this section and (b) professional liability insurance pursuant to subsection (5) of this section.
If the licensed hearing instrument specialist continues to engage in cerumen removal, the licensee shall annually provide evidence to the board of professional liability insurance and an arrangement with a medical liaison.
If the licensed hearing instrument specialist continues to engage in cerumen removal, the licensee shall annually provide evidence to the board of professional liability insurance.
(2) Prior to engaging in cerumen removal, a licensed hearing instrument specialist shall have an arrangement with a medical liaison.
(2) If the patient exhibits contraindications to cerumen removal requiring medical consultation or medical intervention, a licensed hearing instrument specialist shall refer the patient to an otolaryngologist or another physician licensed to practice medicine and surgery under the Uniform Credentialing Act.
A licensed hearing instrument specialist shall refer a patient to a medical liaison if the patient exhibits contraindications to cerumen removal requiring medical consultation or medical intervention.
If a licensed hearing instrument specialist engaged in routine cerumen removal discovers any trauma, including, but not limited to, continuous uncontrolled bleeding, lacerations, or other traumatic injuries, the licensee shall, as soon as practicable, seek immediate medical attention for the patient.
If a licensed hearing instrument specialist engaged in routine cerumen removal discovers any trauma, including, but not limited to, continuous uncontrolled bleeding, lacerations, or other traumatic injuries, the licensee shall, as soon as practicable, refer the patient to the medical liaison.
(3)(a) Prior to engaging in cerumen removal, a licensed hearing instrument specialist shall complete a cerumen removal course recommended by a national medical or audiology organization and approved by the board and provide the board with evidence of such successful completion and attestation of competence.
(3)(a) Prior to entering into an arrangement with a medical liaison, a licensed hearing instrument specialist shall complete a cerumen removal course approved by the International Hearing Society or the American Academy of Otolaryngology-Head and Neck Surgery, or another course approved by the board, and provide the board with evidence of such successful completion and attestation of competence.
In order to be approved by the board as a cerumen removal course, the course shall be approved by a national medical or audiology organization and shall:
In order to be approved by the board as a cerumen removal course, the course shall be -19- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 approved by the International Hearing Society or the American Academy of Otolaryngology-Head and Neck Surgery and shall:
(i) Be overseen by a physician or an audiologist, preferably an otolaryngologist;
(i) Be overseen by a physician, preferably an otolaryngologist;
(ii) Consist of at least six hours of practice of cerumen removal from an ear canal model using a variety of safe techniques;
(ii) Consist of at least six hours of a participant practicing cerumen removal from an ear canal model using a variety of safe techniques;
and (v) Result in a certificate of successful completion and attestation of competence signed by such physician.
and (v) Result in a certificate of successful completion and attestation of competence signed by such physician or audiologist.
(b) The board may, only after consultation with the Board of Medicine and Surgery, adopt rules and regulations as provided in section 38-126 to provide requirements for the initial cerumen removal course.
(b) The board may, only after consultation with the Board of Medicine and Surgery and the Board of Audiology and Speech-Language Pathology, adopt rules and regulations as provided in section 38-126 to provide requirements for the -7- LB332 LB332 2025 initial cerumen removal course.
(b) The licensed hearing instrument specialist shall refer a patient -20- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 to the medical liaison, an otolaryngologist, or a licensed physician for medical consultation or medical intervention if the patient exhibits any of the following contraindications to cerumen removal:
(b) The licensed hearing instrument specialist shall refer a patient to an otolaryngologist or another physician licensed under the Uniform Credentialing Act for medical consultation or medical intervention if the patient exhibits any of the following contraindications to cerumen removal:
(v) The patient has any previous ear surgery;
(v) The patient has had previous ear surgery;
and (c) If the patient, while undergoing cerumen removal that did not present contraindications, complains of significant pain, exhibits uncontrolled bleeding or a laceration of the external auditory canal, or notices the acute onset of dizziness or vertigo or sudden hearing loss, the licensed hearing instrument specialist shall immediately stop the procedure and refer the patient to the medical liaison, an otolaryngologist, or a licensed physician.
and (c) If the patient, while undergoing cerumen removal that did not present contraindications, complains of significant pain, exhibits uncontrolled bleeding or a laceration of the external auditory canal, or experiences the acute onset of dizziness or vertigo or sudden hearing loss, the licensed hearing instrument specialist shall immediately stop the procedure and refer the patient to an otolaryngologist or another physician licensed under the Uniform Credentialing Act.
-21- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (c) Cleaning, disinfection, and sterilization of multiple-use equipment;
(c) Cleaning, disinfection, and sterilization of multiple-use equipment;
A licensed hearing instrument specialist shall include in the patient's record video-otoscopy pictures of the patient's ear canal showing cerumen that must be removed and video-otoscopy pictures after the removal of the cerumen.
(12) A licensed hearing instrument specialist who first passes the initial training in cerumen removal shall take one additional hour of continuing education specific to cerumen removal annually, by any approved means, in addition to the required continuing education requirements for the license as a licensed hearing instrument specialist.
(12) A licensed hearing instrument specialist who passes the initial training in cerumen removal shall take one additional hour of continuing education specific to cerumen removal annually, by any approved means, in addition to the required continuing education requirements for the license as a licensed hearing instrument specialist.
30.
28.
31.
29.
It is a condition of licensure under the Hearing -22- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 Instrument Specialists Practice Act that a licensed hearing instrument specialist comply with the rules of the federal Food and Drug Administration governing the ordering of the use, fitting, and sales of hearing instruments as prescribed by 21 C.F.R.
It is a condition of licensure under the Hearing Instrument Specialists Practice Act that a licensed hearing instrument specialist comply with the rules of the federal Food and Drug Administration governing the ordering of the use, fitting, and sales of hearing instruments as prescribed by -8- LB332 LB332 2025 C.F.R.
32.
30.
A purchaser of a hearing instrument shall not be required to obtain a medical evaluation for the repurchase of a hearing instrument once a medical evaluation has been obtained for certain otologic conditions that are permanent and would be reidentified at each hearing assessment.
A purchaser of a hearing instrument shall not be required to obtain a medical evaluation for the repurchase of a hearing instrument after a medical evaluation has been obtained for certain otologic conditions that are permanent and would be reidentified at each hearing assessment.
and (3) Audiometric air-bone gap equal to or greater than an average of fifteen decibels at five hundred hertz, one thousand hertz, and two thousand hertz.
and (3) Audiometric air-bone gap equal to or greater than fifteen decibels at five hundred hertz, one thousand hertz, and two thousand hertz.
33.
31.
34.
32.
A licensed hearing instrument specialist who is certified -23- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 by the National Board for Certification in Hearing Instrument Sciences or has an advanced credential recognized or offered by the International Hearing Society may work for a company or organization as a trainer and provide specialized training in the practical application of hearing instrument sciences.
 A licensed hearing instrument specialist who is certified by the National Board for Certification in Hearing Instrument Sciences or has an advanced credential recognized by the board may work for a company or organization as a trainer and provide specialized training in the practical application of hearing instrument sciences.
35.
33.
38-2849 The board shall be composed of eight five members, including five four actively practicing pharmacists, at least one of whom practices within the confines of a hospital, one pharmacy technician, and two one public members member who are is interested in the health of the people of Nebraska.
38-2849 The board shall be composed of eight five members, including five four actively practicing pharmacists, at least one of whom practices within the confines of a hospital, one pharmacy technician, and two one public members member who are is interested in the health of the people of Nebraska.
36.
34.
-24- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (4) Prescriptions are accompanied by patient instructions and written information approved by the director;
(4) Prescriptions are accompanied by patient instructions and written information approved by the director;
(9) The only drugs and devices allowed to be dispensed or stored by public health clinics appear on the formulary approved pursuant to -25- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 section 38-2881;
(9) The only drugs and devices allowed to be dispensed or stored by public health clinics appear on the formulary approved pursuant to section 38-2881;
and (10) At any time that dispensing is occurring from a public health clinic, the delegating pharmacist for the public health clinic or on-call pharmacist in Nebraska is available, either in person or by telephone, to answer questions from clients, staff, public health clinic workers, or volunteers.
and (10) At any time that dispensing is occurring from a public health clinic, the delegating pharmacist for the public health clinic or on-call pharmacist in -9- LB332 LB332 2025 Nebraska is available, either in person or by telephone, to answer questions from clients, staff, public health clinic workers, or volunteers.
37.
35.
-26- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 or (iii) a common database;
or (iii) a common database;
38.
36.
68-911 (1) Medical assistance shall include coverage for health care and related services as required under Title XIX of the federal Social Security Act, including, but not limited to:
68-911 (1) Medical assistance shall include coverage for health care and related services as required under Title XIX of the federal Social Security Act, including, but not limited to:
-27- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (a) Inpatient and outpatient hospital services;
(a) Inpatient and outpatient hospital services;
(e) Rehabilitation services;
-10- LB332 LB332 2025 (e) Rehabilitation services;
-28- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (h) Medical transportation services;
(h) Medical transportation services;
physical therapy -29- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 services;
physical therapy services;
and vision- related services.
and vision-related services.
-30- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 (i) Adult in the expansion population means an adult (A) described in 42 U.S.C.
(i) Adult in the expansion population means an adult (A) described in 42 U.S.C.
(e) The department may adopt and promulgate rules and regulations to carry out this subsection.
(e) The department may adopt and promulgate rules and regulations to carry -11- LB332 LB332 2025 out this subsection.
The electric personal-use breast pump shall -31- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 be capable of (i) sufficiently supporting milk supply, (ii) double and single side pumping, and (iii) suction power ranging from zero mmHg to two hundred fifty mmHg.
The electric personal-use breast pump shall be capable of (i) sufficiently supporting milk supply, (ii) double and single side pumping, and (iii) suction power ranging from zero mmHg to two hundred fifty mmHg.
39.
37.
(1) For purposes of this section, program means the Rural Health Opportunity Program that encourages students from rural communities to pursue health care professions and return to practice in those rural communities.
 (1) For purposes of this section, program means the Rural Health Opportunity Program that encourages students from rural communities to pursue health care professions and return to practice in those rural communities.
(2)(a) The Board of Trustees of the Nebraska State Colleges and the Board of Regents of the University of Nebraska shall enter into a memorandum of understanding to administer the program, including a joint -32- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 application and interview process to select students to participate in the program and be provisionally admitted into one of the eligible health care programs at the University of Nebraska Medical Center.
(2)(a) The Board of Trustees of the Nebraska State Colleges and the Board of Regents of the University of Nebraska shall enter into a memorandum of understanding to administer the program, including a joint application and interview process to select students to participate in the program and be provisionally admitted into one of the eligible health care programs at the University of Nebraska Medical Center.
40.
38.
Sections 1, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, and 41 of this act become operative three calendar months after the adjournment of this legislative session.
Sections 1, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 39, and 41 of this act become operative three calendar months after the adjournment of this legislative session.
39.
Original sections 38-511, 38-1501, 38-1502, 38-1504, 38-1505, 38-1508, 38-1510, 38-1511, 38-1514, 38-2849, and 38-2884, Reissue Revised Statutes of Nebraska, and sections 38-1509, 38-1512, 38-1513, 38-28,104, and 68-911, Revised Statutes Cumulative Supplement, 2024, are repealed.
Sec.
40.
Original sections 38-1401, 38-1402, 38-1413, and 38-1424, Reissue Revised Statutes of Nebraska, are repealed.
Sec.
Original sections 38-511, 38-1501, 38-1502, 38-1504, 38-1505, 38-1506, 38-1508, 38-1510, 38-1511, 38-1514, 38-2849, and 38-2884, Reissue Revised Statutes of Nebraska, and sections 38-1509, 38-1512, 38-1513, 38-28,104, and 68-911, Revised Statutes Cumulative Supplement, 2024, are repealed.
The following sections are outright repealed:
Sections 38-512 and 38-1506, Reissue Revised Statutes of Nebraska.
Original sections 38-1401, 38-1402, 38-1413, and 38-1424, -33- ER42 ER42 LB332 LB332 MJP - 04/09/2025 MJP - 04/09/2025 Reissue Revised Statutes of Nebraska, are repealed.
Sec.
43.
2.
-12-
On page 1, strike beginning with "the" in line 1 through line 5 and insert "public health and welfare;
to amend sections 38-511, 38-1401, 38-1402, 38-1413, 38-1424, 38-1501, 38-1502, 38-1504, 38-1505, 38-1506, 38-1508, 38-1510, 38-1511, 38-1514, 38-2849, and 38-2884, Reissue Revised Statutes of Nebraska, and sections 38-1509, 38-1512, 38-1513, 38-28,104, and 68-911, Revised Statutes Cumulative Supplement, 2024;
to provide, change, and eliminate definitions;
to provide for assistant funeral directors;
to provide for credentialing, scope of practice, collaborative agreements, restrictions on practice, and disciplinary actions under the Funeral Directing and Embalming Practice Act;
to change provisions relating to licensure and regulation of hearing instrument specialists under the Hearing Instrument Specialists Practice Act;
to change membership requirements for the Board of Pharmacy;
to change requirements relating to compounding and delegated dispensing permits;
to provide requirements for certain prescription refills as prescribed;
to require medicaid coverage for psychology services provided by certain practitioners as prescribed;
to require a memorandum of understanding regarding a Rural Health Opportunity Program;
to provide for tuition waivers for eligible students as prescribed;
to state intent regarding appropriations;
to harmonize provisions;
to provide operative dates;
to repeal the original sections;
and to declare an emergency.".
-34-
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Action History

  1. Provisions/portions of LB119 amended into LB332 by AM828

  2. Provisions/portions of LB154 amended into LB332 by AM729

  3. Provisions/portions of LB515 amended into LB332 by AM729

  4. Provisions/portions of LB555 amended into LB332 by AM729

  5. Provisions/portions of LB697 amended into LB332 by AM729

  6. Approved by Governor on May 20, 2025

  7. Dispensing of reading at large approved

  8. Passed on Final Reading with Emergency Clause 49-0-0

  9. President/Speaker signed

  10. Presented to Governor on May 14, 2025

  11. Placed on Final Reading with ST25

  12. Enrollment and Review ST25 filed

  13. Enrollment and Review ST25 recorded

  14. Enrollment and Review ER42 adopted

  15. Hardin AM1117 withdrawn

  16. Hardin AM1154 filed

  17. Hardin AM1154 adopted

  18. Advanced to Enrollment and Review for Engrossment

  19. Hardin AM1117 to ER42 filed

  20. Placed on Select File with ER42

  21. Enrollment and Review ER42 filed

  22. Hardin AM828 adopted

  23. Health and Human Services AM729 adopted

  24. Advanced to Enrollment and Review Initial

  25. Hardin AM828 to AM729 filed

  26. Placed on General File with AM729

  27. Health and Human Services AM729 filed

  28. Health and Human Services priority bill

  29. Notice of hearing for February 19, 2025

  30. Referred to Health and Human Services Committee

  31. Date of introduction

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 48 not signed on

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 on Final Reading with Emergency Clause 49-0-0

Passed 49 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 49000
Total 49000
% of votes cast 100%0%0%0%
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 — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
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 →

Hardin AM1154 adopted

Failed 37 Yea · 0 Nay · 12 Other
Party YeaNayPresentNot Voting
Unaffiliated 370012
Total 370012
% of votes cast 76%0%0%24%
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 — Not Voting
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Not Voting
George Dungan — Not Voting
Jana Hughes — Not Voting
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 — Not Voting
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
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 — Yea
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Not Voting
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Yea
Wendy DeBoer — Not Voting

Official roll call →

Hardin AM828 adopted

Failed 28 Yea · 0 Nay · 21 Other
Party YeaNayPresentNot Voting
Unaffiliated 280021
Total 280021
% of votes cast 57%0%0%43%
How each member voted (49)
Member Party Vote
Meyer — Yea
McKeon — Not Voting
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Not Voting
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Not Voting
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Not Voting
George Dungan — Not Voting
Jana Hughes — Not Voting
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Not Voting
John Fredrickson — Yea
Kathleen Kauth — Not Voting
Loren Lippincott — Yea
Machaela Cavanaugh — Not Voting
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Not Voting
Paul Strommen — Yea
R. Brad von Gillern — Not Voting
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Not Voting
Terrell McKinney — Not Voting
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Advanced to Enrollment and Review Initial

Passed 29 Yea · 0 Nay · 20 Other
Party YeaNayPresentNot Voting
Unaffiliated 290020
Total 290020
% of votes cast 59%0%0%41%
How each member voted (49)
Member Party Vote
Meyer — Yea
McKeon — Not Voting
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Not Voting
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Not Voting
George Dungan — Not Voting
Jana Hughes — Not Voting
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Not Voting
John Fredrickson — Yea
Kathleen Kauth — Not Voting
Loren Lippincott — Yea
Machaela Cavanaugh — Not Voting
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Not Voting
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Not Voting
Terrell McKinney — Not Voting
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Not Voting

Official roll call →

Health and Human Services AM729 adopted

Failed 29 Yea · 0 Nay · 20 Other
Party YeaNayPresentNot Voting
Unaffiliated 290020
Total 290020
% of votes cast 59%0%0%41%
How each member voted (49)
Member Party Vote
Meyer — Yea
McKeon — Not Voting
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Yea
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Not Voting
Christy Armendariz — Yea
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Not Voting
Dave Murman — Not Voting
Dave Wordekemper — Yea
Dunixi Guereca — Not Voting
Eliot Bostar — Not Voting
George Dungan — Not Voting
Jana Hughes — Not Voting
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Cavanaugh — Not Voting
John Fredrickson — Yea
Kathleen Kauth — Not Voting
Loren Lippincott — Yea
Machaela Cavanaugh — Not Voting
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Not Voting
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Not Voting
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Not Voting
Terrell McKinney — Not Voting
Tom Brandt — Yea
Tony Sorrentino — Not Voting
Victor Rountree — Yea
Wendy DeBoer — Yea

Official roll call →

Subjects

healthcare labor health-insurance
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Frequently asked questions

Who sponsors LB 332?
LB 332 is sponsored by Brian Hardin.
What is the current status of LB 332?
This bill has been enacted into law. Introduced January 16, 2025. Enacted.
Where can I track LB 332?
Track LB 332 free on One Click Politics — get push/email alerts when it moves.

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