If it took effect, LB 987 would require vision plan managers to share company details and give eye care providers advance notice of contract changes.
Insurers and vision plan managers would have to publish company details, lawsuits, and formal complaints, and send providers proposed contract changes clearly marked for review.
Providers would receive itemized payment schedules and advance notice of contract changes. They could keep their current agreement if they reject a change, and could offer lower-cost direct payment to enrollees.
Providers could apply to join networks without being forced into unrelated plans. Insurers would have to use the same application rules and decide on applications within 30 business days.
Insurers and vision benefit managers would have to disclose company information and explain proposed provider contract changes. The rules cover insurers and vision benefit managers, and disclosures must accompany specified plan and provider documents. Disclosures would have to use plain language, at least ten-point type, and be easy to find. The information would include company and oversight details, lawsuits, and formal complaints. The act would apply to plans delivered, issued, continued, or renewed in Nebraska on or after July 1, 2026.
Insurers and vision benefit managers would have to follow rules for provider payments, contracts, and claims. These rules cover insurers and vision benefit managers, eye care providers, and covered services and materials under health or vision plans. Payment schedules would have to list each covered service or material and its payment; providers could negotiate different rates. A provider who rejects a proposed contract change could keep the current agreement and could not be removed for refusing the change. Providers could offer direct payment when it would cost the enrollee less, but would not have to do so. Insurers and vision benefit managers would have to give at least 90 days' notice before a proposed provider contract change takes effect.
Insurers and vision benefit managers would have to follow set rules for provider networks and credentialing. The rules cover eye care providers and insurers or vision benefit managers offering health plans, vision plans, or vision discount plans. Providers who meet credentialing requirements and agree in writing to the contract would have to be allowed to join a network. Providers could not be forced to join unrelated plans as a condition of joining another network, and could appeal a denied application. The act would apply to plans delivered, issued, continued, or renewed in Nebraska on or after July 1, 2026.
No hearings or votes scheduled.