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LB 308

Adopt the Health Care Staffing Agency Registration Act

109th Legislature (2025-2026) Introduced by Teresa Ibach

Nebraska LB 308 requires health care staffing agencies to register pricing and staff pay data, verify licenses, carry liability insurance, and ban noncompete fees.

Title printed. Carryover bill
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Bill Summary · LB 308

Summary of Nebraska LB 308 — Health Care Staffing Agency Registration Act

Purpose and Intent

LB 308 proposes to establish a comprehensive regulatory framework for health care staffing agencies operating in Nebraska. The core goal is to increase transparency, ensure workforce protections, and foster consistent oversight of agencies that provide temporary health care staff to facilities and services. The act would be administered by the Nebraska Department of Labor.

Key Provisions

  • Registration and Fees

    • Health care staffing agencies must register annually with the Nebraska Department of Labor.
    • Payment of an annual registration fee of $1,500 per location. If a health care technology platform operates in Nebraska without a physical location, registration is for the state generally at $1,500.
    • Renewal filings are due at least 60 days before the current registration expires.
    • The Department issues a separate certificate of registration for each physical location (or one state-wide certificate for platforms without a Nebraska location).

  • Public Database and Reporting

    • The Department must create a public database with:
    • Basic information about each staffing agency.
    • The average amount charged by the agency for each staff category.
    • The average amount paid to staff members in each category.
    • Agencies must report quarterly (for each health care entity participating in Medicare/Medicaid and contracting with the agency):
    • The average charges to the health care entity by staff category, including any ancillary fees.
    • The average amounts paid to staff workers by category.

  • Staffing Agency Obligations

    • Agencies must verify and document that each staff worker meets minimum licensing, certification, and health requirements for the staff member’s position.
    • Agencies must maintain records for each staff worker and provide required documentation to regulators or external parties as needed.
    • Agencies must maintain or require staff workers to maintain professional and general liability insurance with minimum per-occurrence coverage of $1,000,000 and aggregate coverage of $3,000,000.

  • Non-Compete and Employment Opportunities

    • Agencies may not restrict employment opportunities of staff workers by charging fees or including non-compete clauses in contracts.
    • The act requires certification that staffing contracts do not restrict such opportunities.

  • Inspections, Appeals, and Penalties

    • The Department may inspect staffing agencies.
    • Violations can be appealed under the Administrative Procedure Act, with a 20-day window to appeal a denial of registration.
    • Penalties for violations will be established in the Act (details not fully shown in the provided excerpt).

  • Definitions and Scope

    • The Act defines key terms (e.g., “health care staffing agency,” “health care entity,” “health care facility,” “health care service,” “staff worker,” “health care technology platform”) and clarifies what constitutes direct health care services.

Affected Entities

  • Primary: Health care staffing agencies operating in Nebraska (including those that function as health care technology platforms).
  • Health care entities (facilities or services) that contract with staffing agencies for temporary staff.
  • Health care workers supplied by staffing agencies (who must meet licensing, certification, and insurance requirements).
  • Nebraska Department of Labor (administrative oversight, enforcement, and data publication).

Procedural and Timeline Aspects

  • Intro and Hearing
    • Introduced: January 15, 2025
    • Committee hearing: January 27, 2025 (Business and Labor)
  • ** operative date and repeal**
    • The version indicates an operative date will be provided within the act, and it repeals the original section it replaces (the Staffing Agency Registration Act).

Notes

  • The bill is currently referred to the Business and Labor Committee.
  • The specific penalties and some administrative details are not fully shown in the provided excerpt but are intended to be defined within the act.
  • The public database components and quarterly reporting are designed to increase transparency around pricing and staffing compensation.

Compiled from official sources — confirm details with the bill’s official record.

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