Bifurcated

Nebraska No Surprises Act & IDR Rules

Last verified: July 2026 · For informational purposes only, not legal advice

Quick answer: Nebraska is a bifurcated state. Some disputes are governed by Nebraska's own specified state law, while others default to the federal No Surprises Act IDR process depending on the plan type and service involved.

How it works

Nebraska's specified state law applies narrowly — only to emergency services up to the point of stabilization furnished by out-of-network providers at in-network emergency facilities. The federal IDR process applies to post-stabilization emergency services, non-emergency services from out-of-network providers at in-network facilities, and air ambulance services.

Key dates

Federal No Surprises Act protections took effect January 1, 2022. State-specific protections vary — check the official source below for exact effective dates in this state.

Official source: Centers for Medicare & Medicaid Services — Nebraska enforcement letter and specified state law documentation (cms.gov/nosurprises)

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