---
type: "Bill"
title: "Change powers and duties of health directors in certain local public health departments and provide requirements relating to community-wide directed health measures"
description: "Change powers and duties of health directors in certain local public health departments and provide requirements relating to community-wide directed health measures"
jurisdiction: "us/states/ne"
legislature: "Nebraska Legislature"
session: "109"
identifier: "LB 203"
citation: "Nebraska LB 203 (109)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kauth"]
version_count: 6
action_count: 23
vote_count: 4
first_action: "2025-01-14"
last_action: "2026-02-18"
source: "openstates"
source_identifier: "ocd-bill/ec86211b-3d7a-4204-9bbb-76d70d00b02e"
source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2025"
source_hash: "72c4fad380d4a331a6ecfb5a5b8f36fe80e9e39d29acc9ef0f26a504f18e4f1a"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ne"]
---

# Nebraska LB 203 (109) — Change powers and duties of health directors in certain local public health departments and provide requirements relating to community-wide directed health measures

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced** (filed) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Intro/LB203.pdf)
2. **Enrollment and Review ER103** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/ER103.pdf)
3. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB203.pdf)
4. **Fredrickson AM1781** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM1781.pdf)
5. **Health and Human Services AM611** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM611.pdf)
6. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB203.pdf)

## Votes

- Fredrickson AM1781 adopted — **43–0** (fail) · legislature
- Health and Human Services AM611 adopted — **34–3** (fail) · legislature
- Passed on Final Reading 35-12*-2 — **35–12** (pass) · legislature
- Advanced to Enrollment and Review Initial — **28–13** (pass) · legislature

## Sponsors

- Kauth — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2026-02-18** Approved by Governor on February 17, 2026 `executive-signature`
- **2026-02-12** Presented to Governor on February 12, 2026 `executive-receipt`
- **2026-02-12** President/Speaker signed `passage`
- **2026-02-12** Passed on Final Reading 35-12*-2 `passage`
- **2026-02-12** Dispensing of reading at large approved
- **2026-02-10** Placed on Final Reading `reading-3`
- **2026-02-05** Advanced to Enrollment and Review for Engrossment
- **2026-02-05** Enrollment and Review ER103 adopted
- **2026-01-29** Enrollment and Review ER103 filed `filing`
- **2026-01-29** Placed on Select File with ER103 `filing`
- **2026-01-26** Advanced to Enrollment and Review Initial
- **2026-01-26** Fredrickson AM1781 adopted
- **2026-01-26** Fredrickson AM1754 withdrawn
- **2026-01-26** Health and Human Services AM611 adopted
- **2026-01-23** Fredrickson AM1781 filed `filing`
- **2026-01-23** Health and Human Services AM611 pending
- **2026-01-21** Fredrickson AM1754 filed `filing`
- **2026-01-07** Title printed. Carryover bill
- **2025-03-18** Health and Human Services AM611 filed `filing`
- **2025-03-18** Placed on General File with AM611 `committee-passage`
- **2025-01-24** Notice of hearing for February 07, 2025
- **2025-01-16** Referred to Health and Human Services Committee `referral-committee`
- **2025-01-14** Date of introduction `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ec86211b-3d7a-4204-9bbb-76d70d00b02e`. Confidence: reported (aggregated from official Nebraska legislature records).