---
type: "Bill"
title: "Adopt the Ensuring Transparency in Prior Authorization Act and provide for insurance and medicaid coverage of biomarker testing"
description: "Adopt the Ensuring Transparency in Prior Authorization Act and provide for insurance and medicaid coverage of biomarker testing"
jurisdiction: "us/states/ne"
legislature: "Nebraska Legislature"
session: "109"
identifier: "LB 77"
citation: "Nebraska LB 77 (109)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Bostar"]
version_count: 6
action_count: 21
vote_count: 4
first_action: "2025-01-09"
last_action: "2025-06-06"
source: "openstates"
source_identifier: "ocd-bill/eeec3eb1-fbaf-408c-a373-6c8d286251f3"
source_url: "https://nebraskalegislature.gov/bills/search_by_date.php?SessionDay=2025"
source_hash: "3ba32fcffbbbb75ec0624256aaa331c75d4aa652ca59ad7b27a7a65e93edc8bb"
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 77 (109) — Adopt the Ensuring Transparency in Prior Authorization Act and provide for insurance and medicaid coverage of biomarker testing

## 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/LB77.pdf)
2. **Banking, Commerce and Insurance AM1187 Bostar AM1261** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM1187.pdf)
3. **Bostar AM1261** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/AM1261.pdf)
4. **Enrollment and Review ER86** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/AM/ER86.pdf)
5. **Final Reading** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Final/LB77.pdf)
6. **Slip Law** (committee substitute) — [source](https://nebraskalegislature.gov/FloorDocs/109/PDF/Slip/LB77.pdf)

## Votes

- Bostar AM1261 adopted — **31–0** (fail) · legislature
- Advanced to Enrollment and Review Initial — **37–0** (pass) · legislature
- Banking, Commerce and Insurance AM1187 adopted — **32–0** (fail) · legislature
- Passed on Final Reading 46-2*-1 — **46–2** (pass) · legislature

## Sponsors

- Bostar — primary (person)

## Timeline

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

- **2025-06-06** Provisions/portions of LB253 amended into LB77 by AM1187
- **2025-06-06** Approved by Governor on June 4, 2025 `executive-signature`
- **2025-05-30** Presented to Governor on May 30, 2025 `executive-receipt`
- **2025-05-30** President/Speaker signed `passage`
- **2025-05-30** Passed on Final Reading 46-2*-1 `passage`
- **2025-05-30** Dispensing of reading at large approved
- **2025-05-27** Placed on Final Reading `reading-3`
- **2025-05-21** Advanced to Enrollment and Review for Engrossment
- **2025-05-21** Enrollment and Review ER86 adopted
- **2025-05-14** Enrollment and Review ER86 filed `filing`
- **2025-05-14** Placed on Select File with ER86 `filing`
- **2025-05-09** Advanced to Enrollment and Review Initial
- **2025-05-09** Banking, Commerce and Insurance AM1187 adopted
- **2025-05-09** Bostar AM1261 adopted
- **2025-05-08** Bostar AM1261 to AM1187 filed `filing`
- **2025-04-28** Banking, Commerce and Insurance AM1187 filed `filing`
- **2025-04-28** Placed on General File with AM1187 `committee-passage`
- **2025-03-17** Speaker priority bill
- **2025-01-27** Notice of hearing for February 10, 2025
- **2025-01-13** Referred to Banking, Commerce and Insurance Committee `referral-committee`
- **2025-01-09** 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/eeec3eb1-fbaf-408c-a373-6c8d286251f3`. Confidence: reported (aggregated from official Nebraska legislature records).