---
type: "Bill"
title: "Change provisions relating to the Nebraska Health Care Certificate of Need Act"
description: "Change provisions relating to the Nebraska Health Care Certificate of Need Act"
jurisdiction: "us/states/ne"
legislature: "Nebraska Legislature"
session: "109"
identifier: "LB 437"
citation: "Nebraska LB 437 (109)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Riepe"]
version_count: 6
action_count: 24
vote_count: 4
first_action: "2025-01-21"
last_action: "2026-02-18"
source: "openstates"
source_identifier: "ocd-bill/e249dda5-96e3-45b0-a3ec-e3854d1290f4"
source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2025"
source_hash: "82e00497edac8ef7e910ae3c0d72e69693f1808e654eef3556386960eefbf7f9"
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 437 (109) — Change provisions relating to the Nebraska Health Care Certificate of Need Act

## 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/LB437.pdf)
2. **Enrollment and Review ER101** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/ER101.pdf)
3. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB437.pdf)
4. **Health and Human Services AM659 DeKay AM778 Fredrickson AM782** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM659.pdf)
5. **Riepe AM1732** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM1732.pdf)
6. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB437.pdf)

## Votes

- Riepe AM1732 adopted — **42–0** (fail) · legislature
- Passed on Final Reading 47-0-2 — **47–0** (pass) · legislature
- Advanced to Enrollment and Review Initial — **41–0** (pass) · legislature
- Health and Human Services AM659 adopted — **39–0** (fail) · legislature

## Sponsors

- Riepe — 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 47-0-2 `passage`
- **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 ER101 adopted
- **2026-01-29** Enrollment and Review ER101 filed `filing`
- **2026-01-29** Placed on Select File with ER101 `filing`
- **2026-01-26** Advanced to Enrollment and Review Initial
- **2026-01-26** Health and Human Services AM659 adopted
- **2026-01-26** Riepe AM1732 adopted
- **2026-01-26** Fredrickson AM782 withdrawn
- **2026-01-26** DeKay AM778 withdrawn
- **2026-01-20** Riepe AM1732 filed `filing`
- **2026-01-07** Title printed. Carryover bill
- **2025-03-27** Fredrickson AM782 to AM659 filed `filing`
- **2025-03-25** DeKay AM778 to AM659 filed `filing`
- **2025-03-18** Health and Human Services AM659 filed `filing`
- **2025-03-18** Placed on General File with AM659 `committee-passage`
- **2025-03-14** DeKay priority bill
- **2025-02-21** Notice of hearing for March 12, 2025
- **2025-01-23** Referred to Health and Human Services Committee `referral-committee`
- **2025-01-21** 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/e249dda5-96e3-45b0-a3ec-e3854d1290f4`. Confidence: reported (aggregated from official Nebraska legislature records).