{
  "jurisdiction": "NE",
  "name": "Nebraska",
  "posture": "adopted_model_bulletin",
  "citation": "Insurance Guidance Document No. IGD--H1",
  "action_date": "2024-06-11",
  "date_qualifier": "issued",
  "amended_effective": null,
  "verbatim_vs_modified": "minimal_or_none",
  "provenance": {
    "posture": "naic-adoption-map",
    "citation": "naic-adoption-map",
    "action_date": "naic-adoption-map",
    "verbatim_vs_modified": "secondary-unverified"
  },
  "notes": "Secondary source; not verified against state bulletin text. Do not rely on for compliance.",
  "source_id": "naic-adoption-map",
  "other_activity": [
    {
      "type": "statute",
      "citation": "LB 77 (109th Legislature), Ensuring Transparency in Prior Authorization Act",
      "subject": "Sec. 12: an AI-based algorithm may not be the sole basis of a utilization review agent's decision to deny, delay or modify care on medical-necessity grounds; the agent must disclose AI use to the department, to every in-network provider, to every enrollee AND on its public website; and the department may audit the automated utilization management system at any time, including via a contracted third party.",
      "quote": "Sec. 12. (1) An artificial intelligence-based algorithm shall not be the sole basis of a utilization review agent's decision to deny, delay, or modify health care services based, in whole or in part, on medical necessity. (2) A utilization review agent shall disclose to the department, to each health care provider in its network, to each enrollee, and on its public website if artificial intelligence-based algorithms are used or will be used in the utilization review process. (3) The department may, at any time, audit a utilization review agent's automated utilization management system.",
      "status": "enacted",
      "enacted": "2025-06-04",
      "effective": "2026-01-01",
      "source": "https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB77.pdf",
      "confidence": "primary",
      "verified_on": "2026-08-21",
      "correction": "Previously framed as a 2026 law. LB 77 was signed 2025-06-04 (109th Legislature); standardized prior-authorization forms took effect 2026-01-01."
    }
  ],
  "_provenance": {
    "source": "Implementation of NAIC Model Bulletin: Use of AI Systems by Insurers",
    "url": "https://content.naic.org/sites/default/files/legal-adoption-map-ai-model-bulletin.pdf",
    "source_as_of": "2026-08-06",
    "retrieved": "2026-08-18",
    "caveat": "Index, not authority. Confirm against the issuing regulator's own bulletin before relying on this for a compliance decision."
  }
}