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LB 109

Prohibit certain provisions in insurance policies and health plans relating to clinician-administered drugs and change provisions relating to pharmacy benefit managers

109th Legislature (2025-2026) Introduced by Eliot Bostar

Bill 9 SummaryBill Number: LB 109Title: Prohibit certain provisions in insurance policies and health plans relating to clinician-administered drugs and change provisions relating t

Title printed. Carryover bill
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Bill Summary · LB 109

Bill 9 Summary

Bill Number: LB 109
Title: Prohibit certain provisions in insurance policies and health plans relating to clinician-administered drugs and change provisions relating to pharmacy benefit managers
Status: Provisions/portions of LB109 amended into LB198 by AM1201
Introduced: January 10, 2025
Classification: bill

  • LB 109 addresses practices by pharmacy benefit managers (PBMs) that limit patient choice and pharmacy access:
  • Prevents PBMs from requiring high-cost medications to be shipped from PBM-owned specialty pharmacies instead of local pharmacies ("white bagging")
  • Ensures PBMs cannot restrict a retail pharmacy's ability to ship, mail, or deliver prescription drugs to patients
  • Allows nationally accredited specialty pharmacies in Nebraska to participate in PBM networks
  • The intent is to increase patient access to medications and prevent PBM practices that restrict pharmacy choice.
  • Portions of LB 109 were later amended into LB 198 through AM 1201.

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

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