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LR 210

Interim study to examine and compare how health information exchanges work in other states

109th Legislature (2025-2026) Introduced by Brian Hardin

Nebraska will study how health information exchanges operate in other states to inform future policy on governance, privacy, and operations.

Referred to Health and Human Services Committee
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Bill Summary · LR 210

LR 210 — Interim study to examine and compare how health information exchanges work in other states

Overview

LR 210 is a Nebraska Legislative Resolution introduced on May 15, 2025. It directs an interim study by the Legislature to examine how health information exchanges (HIEs) operate in other states, with the aim of informing potential future policy in Nebraska. The resolution designates the Health and Human Services Committee to conduct the study and produce a report with findings and recommendations.

Purpose and Intent

  • To propose an interim study assessing how health information exchanges function in other states.
  • To identify lessons, models, and differences that could influence Nebraska’s approach to HIE governance, privacy, and operations.

Key Provisions

  • The Health and Human Services Committee shall conduct the interim study and report its findings and recommendations to the Legislative Council or Legislature after completion.
  • The study should, at minimum, consider:
    1. The role of third parties involved with HIEs.
    2. Auditing processes used by state auditors or federal auditors.
    3. Whether any fees are charged for HIE services.
    4. Data sharing with the federal government.
    5. Historical background of HIEs.
    6. Other states’ legislation related to HIEs.
    7. Privacy issues surrounding HIEs.

Scope and Topics for Comparison

  • How different states structure and regulate HIEs, including governance and oversight.
  • Use of third-party entities (vendors, connectors, or intermediaries) in HIE operations.
  • Auditing regimes and compliance mechanisms, including comparisons to state and federal auditing practices.
  • Fee structures or cost recovery models for HIE participation.
  • Policies on data sharing with federal programs (e.g., CMS/HRSA programs or other federal health data initiatives).
  • Historical development and evolution of each state’s HIE framework.
  • Privacy protections, patient consent, security standards, and data access controls.

Timeline and Procedures

  • The resolution designates the Health and Human Services Committee to carry out the interim study.
  • Upon completion, the committee will prepare a report detailing findings and recommendations for the Legislative Council or Legislature.
  • Status and actions:
    • Introduced: May 15, 2025
    • Referred to Executive Board: May 15, 2025
    • Referred to Health and Human Services Committee: May 19, 2025

Who Is Affected

  • Health information exchanges operating in Nebraska or seeking to operate in Nebraska.
  • Healthcare providers, payers, and IT vendors involved in HIEs.
  • State auditors and federal auditors involved in health information data governance.
  • Privacy advocates and patients whose health data may be exchanged.

Potential Impact

  • The study could inform future Nebraska policy on HIE governance, privacy, funding, and oversight.
  • Findings may influence legislative decisions on whether to modify statutes, regulations, or state contracts related to HIEs.
  • Could clarify responsibilities of third-party participants and identify best practices for auditing and data sharing.

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

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