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

LB 437 — Change provisions relating to the Nebraska Health Care Certificate of Need Act

Last action — Approved by Governor on February 17, 2026

  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 February 18, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 54% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Mixed recorded votes

    2 passed, 2 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

22 added · 23 removed

Plain-language change summary

The amendment to LB 437 changes the validity period for a new or modified health care certificate of need from three years to just one year. This shorter time frame means that health care providers will need to demonstrate ongoing compliance more frequently, which could help ensure that services are meeting current community needs. Additionally, it creates a clearer process for renewing the certificate, aiming for more accountability in health care planning and resource allocation in Nebraska.

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Latest
ER101 ER101 LB437 LB437 CSO - 01/27/2026 CSO - 01/27/2026 E AND R AMENDMENTS TO LB 437   Introduced by Guereca, 7, Chairman Enrollment and Review 1.
LB437 LB437 2026 LEGISLATIVE BILL 437 Approved by the Governor February 17, 2026   Introduced by Riepe, 12;
Strike the original sections and all amendments thereto and insert the following new sections:
Hansen, 16.
Section 1.
  A BILL FOR AN ACT relating to the Nebraska Health Care Certificate of Need Act;
to amend section 71-5848.01, Reissue Revised Statutes of Nebraska;
to change the validity period for a new or modified certificate of need;
and to repeal the original section.
Be it enacted by the people of the State of Nebraska, Section 1.
2.
On page 1, strike beginning with "to" in line 2 through line 12 and insert "to amend section 71-5848.01, Reissue Revised Statutes of Nebraska;
to change the validity period for a new or modified certificate of need;
and to repeal the original section.".
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Action History

  1. Approved by Governor on February 17, 2026

  2. Passed on Final Reading 47-0-2

  3. President/Speaker signed

  4. Presented to Governor on February 12, 2026

  5. Placed on Final Reading

  6. Enrollment and Review ER101 adopted

  7. Advanced to Enrollment and Review for Engrossment

  8. Placed on Select File with ER101

  9. Enrollment and Review ER101 filed

  10. DeKay AM778 withdrawn

  11. Fredrickson AM782 withdrawn

  12. Riepe AM1732 adopted

  13. Health and Human Services AM659 adopted

  14. Advanced to Enrollment and Review Initial

  15. Riepe AM1732 filed

  16. Title printed. Carryover bill

  17. Fredrickson AM782 to AM659 filed

  18. DeKay AM778 to AM659 filed

  19. Placed on General File with AM659

  20. Health and Human Services AM659 filed

  21. DeKay priority bill

  22. Notice of hearing for March 12, 2025

  23. Referred to Health and Human Services Committee

  24. Date of introduction

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

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 47-0-2

Passed 47 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 47002
Total 47002
% of votes cast 96%0%0%4%
How each member voted (49)
Member Party Vote
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Cavanaugh, J. — Yea
Cavanaugh, M. — Not Voting
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
Hansen, B. — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Margo Juarez — Yea
Megan Hunt — Not Voting
Merv Riepe — Yea
Meyer, F. — Yea
Meyer, G. — Yea
Mike Jacobson — Yea
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — 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
von Gillern — Yea

Official roll call →

Riepe AM1732 adopted

Failed 42 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 42007
Total 42007
% of votes cast 86%0%0%14%
How each member voted (49)
Member Party Vote
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 — Not Voting
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Yea
Fred Meyer — Yea
George Dungan — Yea
Glen Meyer — 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 — Not Voting
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Mike Jacobson — Not Voting
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 — 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 →

Advanced to Enrollment and Review Initial

Passed 41 Yea · 0 Nay · 8 Other
Party YeaNayPresentNot Voting
Unaffiliated 41008
Total 41008
% of votes cast 84%0%0%16%
How each member voted (49)
Member Party Vote
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
Cavanaugh, J. — Yea
Cavanaugh, M. — Not Voting
Christy Armendariz — Not Voting
Dan Lonowski — Yea
Dan Quick — Yea
Danielle Conrad — Yea
Dave Murman — Yea
Dave Wordekemper — Yea
Dunixi Guereca — Yea
Eliot Bostar — Not Voting
George Dungan — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Meyer, F. — Yea
Meyer, G. — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
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
von Gillern — Yea

Official roll call →

Health and Human Services AM659 adopted

Failed 39 Yea · 0 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 390010
Total 390010
% of votes cast 80%0%0%20%
How each member voted (49)
Member Party Vote
Ashlei Spivey — Not Voting
Barry DeKay — Yea
Beau Ballard — Not Voting
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Not Voting
Cavanaugh, J. — Yea
Cavanaugh, M. — Not Voting
Christy Armendariz — Not Voting
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 — Yea
Hansen, B. — Yea
Jana Hughes — Yea
Jane Raybould — Yea
Jared Storm — Yea
Jason Prokop — Yea
John Arch — Yea
John Fredrickson — Yea
Kathleen Kauth — Yea
Loren Lippincott — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Meyer, F. — Yea
Meyer, G. — Yea
Mike Jacobson — Not Voting
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Yea
Robert Dover — Not Voting
Stan Clouse — Yea
Tanya Storer — Yea
Teresa Ibach — Yea
Terrell McKinney — Yea
Tom Brandt — Yea
Tony Sorrentino — Yea
Victor Rountree — Not Voting
Wendy DeBoer — Yea
von Gillern — Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors LB 437?
LB 437 is sponsored by Merv Riepe.
What is the current status of LB 437?
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Where can I track LB 437?
Track LB 437 free on One Click Politics — get push/email alerts when it moves.

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