Nebraska
Insurance must now cover all parts of Nebraskans’ colorectal cancer screenings • Nebraska Examiner
LINCOLN — In the summer of 2002, Margaret Stamp returned home to Sarpy County from college four weeks after her 74-year-old grandmother, Phyllis Behm, had died from a short battle with colorectal cancer.
Stamp found her dad, Mark Behm, a former northeast Nebraska county attorney and private practice lawyer, wincing in pain on the living room floor. Stamp described him as in shape and thin. She said he looked healthy and didn’t drink or smoke.
But that weekend, Stamp’s father was doubled over, and he told his daughter, “Call your mom.”
“I’d never seen him like that,” Stamp recalled. “Never even remember him getting the flu or sick. Next thing we know, he’s in emergency surgery — it’s stage IV [colorectal] cancer, and there’s nothing they can do.”
Behm grew up in Olde Towne Bellevue and graduated from the University of Nebraska College of Law in 1976. He served as the Cedar County attorney from 1977 through 1993 and had a private practice in Wausa for many years, later a private practice with other attorneys in Randolph. Behm was also a 1980 delegate to the Republican National Convention for Ronald Reagan and was president of Out Front Properties, a local property management company where his daughter is now vice president.
Stamp said her father’s doctors did what they could to prolong his life and make conditions less painful, and he continued practicing law until about a week before he died in April 2004, at the age of 52.
Twenty years later, Stamp and others have successfully pushed for new state laws that expand insurance coverage for colorectal cancer screenings and associated procedures. The latest law took effect this week.
Stamp recalled losing her father as different from cancer deaths she had seen in some movies, where someone closes their eyes and goes to sleep. She said it was awful and that her father said over and over he couldn’t breathe, had muscle spasms and felt his body shutting down.
“To me, anything you can do to stop that is worth every penny,” Stamp said. “It’s worth going in, getting your colonoscopy, even though I know it can be literally a pain in the butt for some people, but you don’t want that message, ‘It’s too late,’ because then there’s nothing to do but plan the funeral.”
‘We can save lives’
Legislative Bill 829 from State Sen. Carol Blood of Bellevue took effect Jan. 1. It requires insurance companies to cover each “integral part” of performing a colorectal cancer screening, including:
- Removing polyps (abnormal cell growths in the underlining of the colon or rectum) found as part of a colonoscopy.
- Any pathology examination of a polyp biopsy.
- Required specialist consultation prior to the screening.
- Bowel preparation medications prescribed for the screening.
- Anesthesia services performed in connection with the preventive colonoscopy.
Its adoption followed passage of LB 92 in 2023, which included a provision from State Sen. Eliot Bostar of Lincoln that required insurance plans to cover screening colonoscopies, as well as an annual stool-based preventative screening test designed for patients with minimal to average risk of colorectal cancer.
Nebraska is ranked in the lower half of states for colorectal cancer screening rates, according to the Nebraska Department of Health and Human Services.
Blood told the Nebraska Examiner she came up with the idea for her LB 829 when she was getting a colonoscopy and was handed a release before her procedure saying most insurance companies wouldn’t cover part of a colonoscopy should they find something, like a polyp, which can grow into cancer over time.
“Why would you want somebody to be put under anesthesia and look for something and just leave it there?” Blood said. “It made no sense whatsoever.”
Blood said her colonoscopy found something that her insurance didn’t cover, which left her on the hook for a procedure that cost $800 to $900.
Congress has closed this “loophole” for people on Medicare and Medicaid as part of the Affordable Care Act, Blood said, while others with private insurance were told they “could just go pound sand.”
“I thought, well, we can save lives with this one tweak,” Blood said of her Nebraska law, which passed 41-5 in the spring.
What is colorectal cancer?
Jungyoon Kim, Ph.D., who does colon cancer screening research at the University of Nebraska Medical Center’s College of Public Health, said colorectal cancer develops in the large intestine areas like the colon or rectum that are part of the digestive system.
Most colorectal cancers start with a polyp, Kim said, most of which are benign. However, some polyps can change into cancer over time, mostly over many years, like 10-15 years.
Symptoms can include blood in the stool or toilet after a bowel movement, constipation over a long period, abdominal pain or cramping, changes in the shape or size of stool and sudden or unexplained weight loss. If observed, Kim said a doctor should be consulted immediately.
One of the most common misconceptions, though, is that people think they must wait to see symptoms before getting screened, Kim said, which gives polyps time to grow.
“Sometimes, if you see the symptoms and go to the doctor, it might be too late,” Kim said. “That’s why the United States Preventative Services Task Force recommends to get screening when people become 45, even if they do not have any symptoms.”
People with a family history or who have previously had cancer should be screened earlier, Kim said, such as in their 20s or 30s.
Kim said that when a doctor can find and remove polyps, it stops the growth in its tracks and is “like you’re preventing cancer before it even becomes cancer cells.”
If colorectal cancer is detected early, Kim said, the chance of the cancer being cured is about 92%.
Some cancers can be prevented by regular screening, which includes breast cancer through mammograms at the age of 40 or other screenings for cervical or lung cancer.
Disparities include rural Nebraska
According to the Nebraska Department of Health and Human Services, early-age colorectal cancer diagnoses are on the rise. By 2030, the cancer is predicted to be the leading cause of death in people younger than 50, according to DHHS.
It is already the second-leading cause of cancer deaths in men and women combined.
Kim said disparities exist among racial minorities, people living in rural areas, people who are low-income or people with limited access to insurance or certain doctors, who can’t access screenings.
Blood noted those disparities as a reason for the bill, as every medical procedure comes with a certain amount of risk, but that for some patients, they had to “play Russian roulette with what’s in their body” and decide whether they could pay or come back later, if needed.
“That just seems wrong, especially when you look at how much higher colon cancer rates are in our rural areas,” Blood said.
Kim and Stamp said the new law made sense. Stamp added it will help avoid costlier cancer treatments and help save lives.
Importance of prevention
Stamp said her father had found some blood in his stool about two years prior to discovering he had cancer. His doctor had said it was probably hemorrhoids but gave him an at-home testing kit just in case, as at the time he didn’t have a family history of the disease.
The day after Stamp’s father found out he had cancer, Stamp said her mother found the at-home test in her father’s drawer at home. Stamp noted that around 2000, colon cancer wasn’t talked about as much as it is today. She said some people are still embarrassed to talk about it.
Stamp, a University of Nebraska-Lincoln alum who is now 44 and lives in Omaha with her husband and two teenage daughters, got her first colonoscopy at the age of 24.
She has had three more colonoscopies since, with a fifth planned in 2026, and encouraged others to get the procedure, which she described as a “walk in the park.”
“You are taken such good care of, and it is nothing compared to getting cancer and having to have surgery or chemotherapy or one of those colostomy bags,” Stamp said.
Stamp said her father missed her getting married about six months after his death and her two daughters being born, all for not realizing he had cancer.
“It was two quick deaths in the family that got me starting to try to advocate for colon cancer and having colonoscopies,” Stamp said. “… Anything people can do for prevention, it is so worth it, because it’s one of those things you don’t see coming.”
YOU MAKE OUR WORK POSSIBLE.
LINCOLN, NEB — With less than 1% of Nebraska’s native tallgrass prairie remaining, Lincoln officials say a newly acquired tract of land could help preserve a disappearing part of the state’s landscape while expanding outdoor recreation opportunities for future generations.
Mayor Leirion Gaylor Baird and city leaders announced the purchase of nearly 100 acres southwest of Pioneers Park for $924,630 through a partnership involving the City of Lincoln, the Lower Platte South Natural Resources District, and Solidago Conservancy.
The acquisition advances the Prairie Corridor on Haines Branch project, a long-term effort to establish a continuous conservation and recreation corridor stretching from Pioneers Park Nature Center in Lincoln to the Spring Creek Prairie Audubon Center near Denton.
Mayor Leirion Gaylor Baird said the project will provide additional opportunities for residents and visitors to experience Nebraska’s prairie landscape while protecting natural resources.
“Advancing the Prairie Corridor, we create more opportunities for residents and visitors to hike, bike, explore nature, and experience the beautiful landscape that defines our region,” Gaylor Baird said. “We protect vital natural resources that improve water quality and help reduce flood risk downstream, and we preserve an important part of Nebraska’s natural heritage for future generations.”
The newly acquired Prairie Corridor Link property is intended to help connect Pioneers Park Nature Center and Spring Creek Prairie Audubon Center through a continuous protected prairie and trail system.
Plans for the Prairie Corridor include restoring over 5,000 acres of prairie lands (~2,000 acres of tallgrass prairie, and ~3,400 acres of native prairie) and constructing a 14.5-mile multiuse trail that will connect to Lincoln’s existing trail network.
“This property is a piece of a long-term vision to connect Pioneers Park Nature Center and Spring Creek Prairie Audubon Center through a continuous corridor, protected prairie, and trail,” Gaylor Baird said.
Parks and Recreation Director Maggie Stuckey-Ross said approximately over a majority of the Prairie Corridor Trail project has now been secured.
“Once complete, the corridor will include a continuous 7,400-acre passage of tallgrass prairie and a 14.5-mile multiuse trail, and in just nine years, nearly 70% of the Prairie Corridor trail corridor has been secured,” Stuckey-Ross said.
Project leaders say the Prairie Corridor has the potential to become a destination for hikers, cyclists, students, and nature enthusiasts from across Nebraska while helping preserve one of the state’s rarest ecosystems for future generations.
More information about the Prairie Corridor on Haines Branch is available at PrairieCorridor.org.
NEBRASKA CITY, Neb. (KOLN) – A piece of Underground Railroad history is reopening on Juneteenth after severe flooding forced it to close seven years ago.
The Mayhew Cabin offered shelter to people escaping slavery before the Civil War. Visitors can now walk through the same doors they did.
Family history connects to cabin
Darryl Hogan, president of the Mayhew Cabin Foundation, shares how his family escaped slavery in 1859.
“There was a slaveholder who held my third great-grandmother and a few other of the escaped slaves who had passed away, and they were going to be sold as property,” Hogan said from Canada. “So it was almost, in either a death sentence or a worse imprisonment than they had already had.”
The Mayhew family and abolitionist John Brown offered strangers a chance for freedom.
“En route, one of the enslaved people was pregnant and gave birth. So they are affectionately known as the 12 who passed through here,” said Doug Kreifels, board treasurer.
Cabin’s history dates to 1855
The Mayhew Cabin is one of Nebraska’s oldest structures, built in 1855 as the home of Allen B. Mayhew and his wife Barbara Ann. Barbara’s brother, John Kagi, lived there briefly as well.
Kagi helped abolitionist John Brown lead the enslaved people from Missouri to the cabin, as they escaped to Canada.
Flood damage closed site for seven years
Kreifels grew up learning about the cabin’s history.
“I remember when I went through that cabin and that cave and what an impact it had on me,” he said.
A flood in 2019 closed the site for seven years.
“And not only did it reach… as high as this overfill. I mean, it came up over the bank and flooded into the museum as well and caused some damage there,” Kreifels said.
Community effort restores cabin
The Mayhew Cabin Foundation restructured its board and used community grants to recruit Butch Bovier, a historical craftsman.
“Collectively, I think we bring a lot of skill sets together and goodwill,” said Robert Nelson, vice president of the board.
“They bring their dreams to me and I make them happen,” Bovier said.
Bovier helped restore the cabin.
“And that was kind of neat because what we did 20 years ago held up very well. In fact, it held up a lot better than we thought,” he said.
The team worked on the cottonwood logs.
“The logs are this wide, you don’t replace it because that much is bad. So we used a modern product to do some of that. In some cases, we just scraped it smooth,” Bovier said.
The team partially restored John Brown’s Cave. The cabin was moved to its current location in the 1930s from its original site. The owner at the time dug a tunnel-like system that leads to the ravine.
“It’s a tool that we use to help educate everyone who might have an interest in understanding what it might have been like for an enslaved person seeking freedom,” Kreifels said.
Volunteers make reopening possible
The Mayhew Cabin and John Brown’s Cave would not be able to open without the hard work of volunteers. For months, volunteers cleaned up the site and helped Bovier fix the cabin logs, cave and roof. One of them is Jason Hein, who moved to Nebraska City from California. Hein was looking for an opportunity to volunteer in the community and stumbled upon a Facebook post asking for extra hands to help at the Mayhew Cabin. His workplace Burr Farms donated machinery and services toward the efforts.
“You know, we don’t want things falling off the map. We want it to be there for future generations,” Hein said.
“And since that weekend, I’ve been out here Saturdays and Sundays every week. If there isn’t a whole bunch of hands trying to get something done, it’s not going to get done,” he said.
Volunteers have been preparing to reopen the site for more than three months.
“So, I mean, we’ve just literally been here, you know, cutting down trees or trimming trees and then people kind of walking by and seeing and asking, hey, what are you up to?” Nelson said.
The cabin will reopen on Juneteenth.
“And, it was just a matter of this is something that we need to do as a community. Let’s just do it and, make the world a little bit better place,” Hogan said.
Lane Trail and ‘Bloody Kansas’
The Mayhew Cabin was part of the Lane Trail on the Underground Railroad. At the time, the Kansas-Nebraska Act was formed and pro-slavery and abolitionists fought to sway the public toward their beliefs, giving it the nickname “Bloody Kansas.” Abolitionists in southeast Nebraska aided these efforts and helped slaves escape on the Lane Trail.
“It’s an incredible building, but it’s kind of the launch. It was seen as the southern terminus of the Army of the North marching into Kansas, but then also kind of the beginning of the Underground Railroad,” Nelson said.
Nelson, a former Omaha World Herald journalist, researched the Lane Trail extensively. He grew up in Falls City, Nebraska and found out his family has a history of aiding abolitionists.
“The successful fight to stop (slavery), based in Nebraska, or by the people who are involved with this Underground Railroad, is the reason the South secedes. They can’t expand anymore. You know, putting up the wall of Kansas really is what starts the Civil War. So that idea that’s that that’s the Civil War before the Civil War, and Nebraska played a big part of it. I think is a story that’s lost,” Nelson said.
Work remains on the site. The nonprofit wants to repair the museum building and other historic buildings on the property.
Juneteenth event details
A Juneteenth event starts at 7 p.m. Friday at the Mayhew Cabin in Nebraska City. People will have the opportunity to hear speeches from Butch Bovier, Robert Nelson and Darryl Hogan. The event is open to the public and free. There is outdoor seating, but people are welcome to bring lawn chairs. Live music will be provided by West Street Wranglers.
Refreshments will be served at the Hidden Falls Cave Event Center. The Mayhew Cabin is located at 2012 4th Corso in Nebraska City. Questions can be directed to Doug Kreifels at (402) 209-4060.
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Nebraska
Nebraska’s governor doesn’t carry a state-issued phone. Critics call it an abuse of state disclosure laws. – Flatwater Free Press
For more than two years, Nebraska Gov. Jim Pillen did not make or take a single call on his cellphone while on the clock as the state’s chief executive — at least none that there is any record of, according to his office’s top attorney.
After the Flatwater Free Press filed a public records request for call logs from Pillen’s cellphone dating back to September 2023, the governor’s general counsel said no such records exist.
“Governor Pillen does not have a state-issued mobile phone,” the lawyer, Michael J. Donley, said in an email earlier this month — more than four months after Flatwater filed the request.
The revelation marks Pillen’s latest step to shield his communications from public view. He broke with more than 30 years of gubernatorial practice by not releasing a public schedule in March 2023, just two months into his first term. And in August of that year, his office refused to release four of his emails in response to a public records request, citing “executive privilege” — a justification that does not exist in Nebraska’s public records laws.
“I don’t email, I don’t text,” the first-term Republican governor said in response to criticism from Democratic lawmakers over his refusal to release the emails. “Texting when it’s for anything other than logistics, I don’t do.”
His decision not to carry a state-owned cellphone makes him the first governor in at least 20 years not to do so — and, advocates say, amounts to an attempt to circumvent state law.
“It’s absurd to think that simply moving his business to a private cellphone means that none of those records are available to the public,” said Gavin Geis, the director of Common Cause Nebraska, a transparency-in-government watchdog group. “That’s just an abuse of the whole public records process.”
Flatwater sought the records after the online news outlet the Nebraska Examiner reported in January that Pillen had steered the Nebraska Department of Economic Development to award a $2.5 million no-bid emergency contract to a lobbyist who had joined Pillen on state trips to South Korea and Japan.
Flatwater also requested emails between Pillen’s chief of staff, Dave Lopez, and former state economic development officials, including one who told the Examiner that Lopez had provided input on the state’s contract with Julie Bushell, the lobbyist. That portion of Flatwater’s request, which covered an 11-day period last July, also yielded no records, according to the Governor’s Office.
Under Nebraska law, “all records and documents, regardless of physical form, of or belonging to this state” or local governments are a matter of public record — meaning Nebraskans have the right to examine them, with exceptions allowed for investigative police records, personal information, trade secrets and a host of other sensitive documents. The law does not explicitly say whether records from public officials’ personal devices or private email accounts are subject to the law, but prior attorneys general have held for decades that they are.
Pillen’s office repeatedly claimed that Flatwater’s request sought “a record which does not exist” but declined to elaborate. Laura Strimple, a spokeswoman for the governor, said Pillen’s office “is transparent, follows the law, and has diligently responded to the countless public records requests we receive, including several from your outlet.”
“If you choose to publish this non-story, your outlet will have demonstrated once again that it is more interested in political hits and sensationalism than news that matters to hardworking Nebraskans,” Strimple said in an email.
She did not respond to follow-up questions about whether the governor has ever used his phone for state business and whether his office would consider those calls a matter of public record.
Full statement from Gov. Pillen’s spokesperson
After Pillen’s general counsel said records of the governor’s cellphone calls don’t exist, Flatwater sought to understand whether Pillen’s office believes that records of public business stored on private devices are not a matter of public record, an interpretation breaking with decades of precedence. The attorney, Michael J. Donley, said his initial claim “was more limited than how (Flatwater) characterized it,” but did not respond to follow-up questions seeking clarification.
In response to more emails seeking clarity, Pillen’s spokeswoman, Laura Strimple, said:
“If you want a response beyond what we have already told you, then you’ll print in full that:
- Governor Pillen’s administration is transparent, follows the law, and has diligently responded to the countless public records requests we receive, including several from your outlet.
- As we have repeatedly informed you, your public records request asked for a record which does not exist. We have fulfilled the parameters of your request with that answer.
- If you choose to publish this non-story, your outlet will have demonstrated once again that it is more interested in political hits and sensationalism than news that matters to hardworking Nebraskans.”
State law also requires Pillen’s office to maintain a file of all letters it sends denying records requests, and for that file to be made available to any person on request. Donley did not respond to multiple Flatwater requests to review the file, in conflict with the law.
Reporters often use the state’s public records law to find out who government officials are communicating with via phone, email and text.
In 2013, the Omaha World-Herald used call logs obtained under the law to reveal Nebraska’s then-lieutenant governor, Rick Sheehy, had made 2,300 phone calls on his state-issued phone to four women other than his wife, one of whom told the paper she had a four-year affair with Sheehy. He resigned a day after The World-Herald contacted him about its findings.
Such probes have historically not been limited to communications stored on state-owned devices.
In 1997, then-Attorney General Don Stenberg issued an opinion declaring that “public records need not be in the physical possession of an agency to be subject to disclosure under state records acts.”
Lawyers in then-Attorney General Jon Bruning’s office cited Stenberg’s opinion in 2012 when the office determined that members of the Gage County Board of Supervisors were obliged to turn over emails from their private accounts in response to a request from the Beatrice Daily Sun, which sought emails between the board and the county’s medical director, who had resigned.
In 2015, lawyers in then-Attorney General Doug Peterson’s office directed Omaha Mayor Jean Stothert, a Republican, to turn over texts she had sent on her personal phone to City Council members. “It seems to us that the records at issue here are those pertaining solely to the City’s business,” Peterson’s office wrote. “There is no right of privacy for matters that are not private.”
The Nebraska Association of County Officials, a nonprofit that serves and lobbies for all 93 of the state’s counties, tells its members the same. A presentation from the organization’s 2025 annual conference warned that text messages dealing with the public’s business “will be considered a public record.”
A spokeswoman for Mike Hilgers, Nebraska’s current attorney general, declined to say how he advises state agencies on public records stored on private devices. Neither Bruning nor Peterson, both Republicans, returned phone calls seeking comment.
Max Kautsch, a Kansas-based First Amendment rights and open government attorney who also practices law in Nebraska, said Pillen “is gambling that there will be no political consequence from narrowly construing the law.”
“In Nebraska, there is a collective hunch that public officials cannot conduct the public’s business on private devices,” he said. “But the governor wants to push back on what the consensus is on the law. The Legislature should make his obligation clear.”
Courts and attorneys general in other states have largely agreed. A 2014 study from Oklahoma State University found that courts and attorneys general in 18 states had addressed access to public records on private devices. In 15 of those states, authorities held that such records were open to public inspection.
That interpretation isn’t universal. Kentucky’s Supreme Court recently zagged, ruling 4-2 in April that public officials don’t have to disclose records of government business conducted on their private phones.
David Cuillier, director of the Joseph L. Brechner Freedom of Information Project at the University of Florida, called the Kentucky case “an outlier,” not the start of a trend. “At least I hope not — because it’s ludicrous to say that government employees and officials can do government business secretly just by using their own laptop or cellphone or Gmail or Yahoo account,” he said. “That defeats the whole purpose of public records laws.”
In Nebraska, Pillen’s decision to eschew a state-issued phone marks a break with at least two decades of precedent.
Former Republican Govs. Pete Ricketts, who preceded Pillen, and Dave Heineman, who served from 2005 to 2015, confirmed to Flatwater that they had state-owned mobile phones that they used for state business. Heineman, who served as lieutenant governor under Gov. Mike Johanns, said he believed Johanns had one, too.
Johanns, who was governor from 1999 until 2005, did not return emails seeking confirmation. Nor did former Gov. Kay Orr, who served one term as governor starting in 1987.
Former Gov. Ben Nelson said he may have been Nebraska’s first governor to carry a mobile phone after his election in 1990. The technology was in its infancy, and mobile phones were so big that a state trooper carried it for him, he recalled.
The Democrat couldn’t remember ever receiving a public records request for his call logs, he said. He took more heat from reporters over his public appearance schedule — something for which Pillen was criticized in 2023 for not making available to the press, breaking with more than three decades of practice.
Nelson faced a different kind of criticism, he said. He recalled a reporter asking about the frequent weekend hunting trips detailed on his calendar.
“The people of Nebraska — they’re telling me they want less government, so I’ve been trying to give it to them,” Nelson recalled saying.
The room filled with laughter, and the reporter who had asked about the trips looked sheepish, Nelson said.
“But the point is,” he said, “she knew my whereabouts.”
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