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

LB 762 — Require insurance coverage of pediatric autoimmune disorders

Last action — Presented to Governor on April 10, 2026

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

This bill has been enacted into law. Introduced January 07, 2026. Enacted.

Signed by Governor Jim Pillen (Republican) on April 17, 2026.

Odds of enactment

High chance

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

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

Prognosis

Likely to advance 64% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 14 sponsors

    1 primary, 13 co-sponsors signed on.

  • Mixed recorded votes

    2 passed, 1 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

32 added · 7 removed

Plain-language change summary

The legislative amendments to Bill LB 762 now clarify that starting January 1, 2027, insurance policies in Nebraska must cover treatments for specific pediatric autoimmune disorders related to infections, particularly those caused by Group A streptococci. This change is significant because it ensures that kids suffering from these disorders, which can cause severe neuropsychiatric symptoms, will have access to medically necessary treatments recommended by their doctors. Overall, this aims to improve the health outcomes of affected children and reduce the financial burden on families seeking care.

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ER178 ER178 LB762 LB762 JNH - 04/01/2026 JNH - 04/01/2026 E AND R AMENDMENTS TO LB 762   Introduced by Guereca, 7, Chairman Enrollment and Review 1.
LB762 LB762 2026 LEGISLATIVE BILL 762 Approved by the Governor April 14, 2026   Introduced by Dungan, 26;
On page 1 strike beginning with "insurance" in line 1 through line 3 and insert "insurance;
Hunt, 8;
Rountree, 3;
Raybould, 28;
Cavanaugh, J., 9;
Brandt, 32;
DeKay, 40;
Conrad, 46;
Cavanaugh, M., 6;
Quick, 35;
DeBoer, 10;
Guereca, 7;
Hallstrom, 1;
Clouse, 37.
  A BILL FOR AN ACT relating to insurance;
and to require coverage for treatment of certain pediatric autoimmune disorders.".
and to require coverage for treatment of certain pediatric autoimmune disorders.
Be it enacted by the people of the State of Nebraska, Section 1.
(1) Notwithstanding section 44-3,131, on or after January 1, 2027, (a) any individual or group sickness and accident insurance policy or subscriber contract delivered, issued for delivery, or renewed in this state and any hospital, medical, or surgical expense-incurred policy, except for policies that provide coverage for a specified disease or other limited-benefit coverage, and (b) any self-funded employee benefit plan to the extent not preempted by federal law shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorder associated with a Group A streptococcal infection and pediatric acute-onset neuropsychiatric syndrome.
Treatments required by this section shall be recommended by the patient's licensed physician and shall include, but not be limited to, antibiotics, medication and behavioral therapies to manage neuropsychiatric symptoms, plasma exchange, and immunoglobulin.
(2) For purposes of this section:
(a) Pediatric acute-onset neuropsychiatric syndrome means a class of acute-onset obsessive-compulsive or tic disorders or other behavioral changes presenting in a child or adolescent that are not otherwise explained by another known neurologic or medical disorder;
and (b) Pediatric autoimmune neuropsychiatric disorder associated with a Group A streptococcal infection means a condition in which a streptococcal infection in a child or adolescent causes the abrupt onset of clinically significant obsessions, compulsions, tics, or other neuropsychiatric symptoms or behavioral changes, or a relapsing and remitting course of symptom severity.
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Action History

  1. Presented to Governor on April 10, 2026

  2. Approved by Governor on April 14, 2026

  3. Passed on Final Reading 45-4*-0

  4. President/Speaker signed

  5. Enrollment and Review ER178 adopted

  6. Kauth FA391 withdrawn

  7. Advanced to Enrollment and Review for Engrossment

  8. Placed on Final Reading

  9. Placed on Select File with ER178

  10. Enrollment and Review ER178 filed

  11. Banking, Commerce and Insurance AM2380 pending

  12. Banking, Commerce and Insurance AM2380 adopted

  13. Advanced to Enrollment and Review Initial

  14. Hallstrom name added

  15. Clouse name added

  16. Guereca name added

  17. Cavanaugh, M. name added

  18. Quick name added

  19. DeBoer name added

  20. Conrad name added

  21. Placed on General File with AM2380

  22. Banking, Commerce and Insurance AM2380 filed

  23. Dungan priority bill

  24. DeKay name added

  25. Brandt name added

  26. Notice of hearing for February 17, 2026

  27. Notice of hearing for February 24, 2026 (cancel)

  28. Notice of hearing for February 24, 2026

  29. Cavanaugh, J. name added

  30. Raybould name added

  31. Referred to Banking, Commerce and Insurance Committee

  32. Rountree name added

  33. Kauth FA391 filed

  34. Hunt name added

  35. Date of introduction

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 13 co-sponsors · 35 not signed on · 3 voted No

Sponsors (1)

Co-sponsors (13)

Not signed on (35)

35 members have not signed on to this bill.

Show all 35 →

"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 45-4*-0

Passed 45 Yea · 4 Nay
Party YeaNayPresentNot Voting
Unaffiliated 45400
Total 45400
% of votes cast 92%8%0%0%
How each member voted (49)
Member Party Vote
Ashlei Spivey — Yea
Barry DeKay — Nay
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
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 — Yea
Margo Juarez — Yea
Megan Hunt — Yea
Merv Riepe — Yea
Mike Jacobson — Nay
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
R. Brad von Gillern — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Nay
Robert Dover — Nay
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 →

Banking, Commerce and Insurance AM2380 adopted

Failed 46 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 46003
Total 46003
% of votes cast 94%0%0%6%
How each member voted (49)
Member Party Vote
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Not Voting
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
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
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 — 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 →

Advanced to Enrollment and Review Initial

Passed 45 Yea · 2 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 45202
Total 45202
% of votes cast 92%4%0%4%
How each member voted (49)
Member Party Vote
Ashlei Spivey — Yea
Barry DeKay — Yea
Beau Ballard — Not Voting
Ben Hansen — Yea
Bob Andersen — Yea
Bob Hallstrom — Yea
Brian Hardin — Yea
Carolyn Bosn — Yea
Cavanaugh, J. — Yea
Cavanaugh, M. — Yea
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
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 — Nay
Mike Moser — Yea
Myron Dorn — Yea
Paul Strommen — Yea
Rick Holdcroft — Yea
Rita Sanders — Yea
Robert Clements — Nay
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 →

Subjects

healthcare health-insurance
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Frequently asked questions

Who sponsors LB 762?
LB 762 is sponsored by Danielle Conrad, Barry DeKay, Stan Clouse, George Dungan, Bob Hallstrom, Dunixi Guereca, Wendy DeBoer, Dan Quick, Machaela Cavanaugh, Tom Brandt, John Cavanaugh, Jane Raybould, Victor Rountree, and Megan Hunt.
What is the current status of LB 762?
This bill has been enacted into law. Introduced January 07, 2026. Enacted.
Where can I track LB 762?
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