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Nebraska lawmakers hear testimony on several prescription drug bills

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Nebraska lawmakers hear testimony on several prescription drug bills


LINCOLN, Neb. (WOWT) – Pharmacy benefit managers (PBMs), were created decades ago to process claims for insurance companies and save money for consumers.

At a hearing Tuesday, some told the Banking, Commerce and Insurance Committee that things have changed though.

“Now, PBMs collect rebates from drug manufacturers on top of premiums,” Nebraska Pharmacists Association CEO Marcia Mueting said. “They conduct predatory audits that have become a profit center, they reimburse pharmacies at below-cost rates and offer contracts to pharmacies that are not negotiable, and PBMs are posting record earnings.”

State Sen. Justin Wayne has one bill that would keep PBMs from reimbursing pharmacies at a lower rate for drugs than it costs to dispense them.

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Those testifying in favor of it said smaller, independent pharmacies cannot stay afloat with those conditions.

“Even with processing over 12,000-13,000 prescriptions a year, the current losses are unsustainable,” said Tom Choquette, who owns Bert’s Pharmacy in Hastings. “One of the three Nebraska Medicaid Providers, we’ve processed 2,285 claims this year, totaling a loss of $3,084.”

Opponents of the legislation said there are too many other factors at play to just zero in on PBMs.

“Let’s look at what the role the wholesaler and PSAO is in all these transactions because I want to understand more what limits there may be on pharmacies in terms of shopping around,” Pharmaceutical Care Management Association Vice President Bill Head said.

Sen. Eliot Bostar’s proposal would not allow PBMs to restrict how retail pharmacies dispense or deliver prescription drugs to patients.

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The Community Pharmacy Enhanced Services Network in Nebraska welcomed the bill.

“Our sustainability has been compromised by PBM practices that steer our patients away from our care and into big box stores and mail-order services that are often, more often, owned by those same out-of-state PBM companies,” Staci Hubert said.

However, a lobbyist representing Prime Therapeutics said mail-order pharmacies have credentialing requirements for quality and safety measures.

“Community pharmacies should also be following those same requirements if they’re going to be doing mail order, and this bill prevents us from having specific networks that we would require them to join to do mail-order pharmacies,” Michelle Crimmins said.

Sen. Carol Blood of Bellevue has a bill that would establish an advisory council consisting of those representing pharmacists, consumers and drug manufacturers. It would negotiate lower prices on medications that are utilized the most in the state and are also considered to be the most expensive.

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“I don’t fault any company if they make profits,” Blood said. “But in the United States, we’re making these profits on the backs of consumers.”

Critics said the upper payment limit in Blood’s bill is a price control that would impact purchase and reimbursement prices for medicine.

“It is really not clear how an upper payment limit would operate,” said Katelin Lucariello, a lobbyist for the trade group Pharmaceutical Research and Manufacturers of America. “It’s still an open question, as no state has done it yet.”

All bills must make it out of committee before being debated on the floor.

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Gov. Jim Pillen calls for budget cuts, hiring freeze in new memo

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Gov. Jim Pillen calls for budget cuts, hiring freeze in new memo


Nebraska Gov. Jim Pillen on Wednesday announced measures to further cut state spending, including a cut in state agency spending and a hiring freeze on most positions.

Pillen said in a news release that the measures are necessary after the state paid out $307 million more in state tax refunds than anticipated in fiscal year 2026, which ended June 30. Tax receipts have come in below projections in March, April and May, leading to a current expected deficit of $172 million.

That’s after lawmakers closed a $646 million budget hole in their most recent legislative session.

The governor has previously sought to cut spending to provide more property tax relief to Nebraska residents and had called for additional cuts during the current fiscal year.

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“I am pleased with the progress we have made, but I’m not satisfied,” Pillen said in a news release.

Accompanying the release was a memo Pillen sent to state agencies, boards and commissions in which he called on them to “exercise additional fiscal restraint.”

Among the measures outlined in the memo:

  • A freeze on creating any new positions or filling any vacancies without approval from the state budget office. The freeze does not apply to law enforcement or corrections positions.
  • A 5% reduction in budgets for all state agencies.
  • All agencies, boards and commissions must provide monthly cash flow projections.
  • Agency leaders are directed to “concentrate” on eliminating redundant processes, services regulation and aid programs.
  • Agency leaders are directed to reduce their agencies’ physical footprint and “consolidate teams and services.”

All state entities are required to submit their plans for reducing spending by the end of the month.

The memo also said agencies should “prepare for downward adjustments to appropriations” not only in the current fiscal year but also in the 2028 and 2029 fiscal years.



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Supreme Court will hear Nebraska’s fight over access to Colorado’s South Platte River

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Supreme Court will hear Nebraska’s fight over access to Colorado’s South Platte River


The U.S. Supreme Court has agreed to hear Nebraska’s lawsuit against Colorado over a proposed canal that would take water out of the South Platte River in Colorado and send it to a reservoir in Nebraska.

Nebraska claims Colorado is deliberately obstructing efforts to build the ditch, known as the Perkins Canal, even though everyone agrees Nebraska has the right to do so. The canal is necessary, Nebraska says, because Colorado isn’t sending enough water into Nebraska.

The Perkins Canal would divert water from the South Platte River near Ovid to a storage site somewhere in Nebraska. The South Platte River Compact, ratified by both states and Congress in 1923, requires Colorado to guarantee a flow in the river of 120 cubic feet per second at a water gauge near the state line during the irrigation season. The compact also authorizes Nebraska to build the canal and grants the right to use the power of eminent domain to acquire land on which to build it. Initial work was done on the canal more than a century ago, but the project was abandoned as unfeasible.

Nebraska resurrected the idea in late 2021, citing fears that urban development along Colorado’s Interstate 25 corridor and plans to expand water storage were causing Colorado to violate the terms of the 1923 compact. 

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The idea that Nebraska might actually build the canal has water users in the lower reaches of the river worried that doing so would disrupt the water augmentation process that underpins much of the crop irrigation along the South Platte, especially between Fort Morgan and the Colorado-Nebraska state line. It is designed to help Colorado meet the terms of the 1923 compact. 

Colorado land owners have resisted Nebraska’s efforts to buy land in the Julesburg area so the canal can be built. Colorado Attorney General Phil Weiser and Gov. Jared Polis, while recognizing Nebraska’s right to build the canal, have nevertheless sworn to do all they can to protect Coloradans’ property and water rights. Seeing such rhetoric as subverting Nebraska’s right to build, Nebraska sued Colorado in the Supreme Court in July 2025, alleging that Colorado is obstructing Nebraska’s efforts to go ahead with the Perkins project. Nebraska also attacked Colorado’s water augmentation system, saying it doesn’t work.

To understand augmentation, it’s important to know that Colorado operates on the prior appropriation doctrine, meaning the oldest (senior) water right holders get their water first. During dry periods, senior users may place a “call” on a stream, forcing junior users to stop taking water to ensure the senior rights are fulfilled. When someone pumps water out of a river basin, it eventually pulls water out of nearby streams and rivers, which can illegally shortchange senior surface-right holders. In that case, the junior wells would have to be shut down until senior rights were satisfied

To avoid such shutdowns, called “curtailment,” Colorado devised a system called augmentation in which the water that is pumped during the irrigation season must be replaced during the winter months so it flows back through the aquifer into the river in the following irrigation season. Some augmentation is done simply by buying water rights from upstream users, increasing the amount of water in the river. The system is highly complex and requires detailed accounting of river flows.

In a prepared statement issued last week, after the high court agreed to hear the case, Colorado Attorney General Phil Weiser said Colorado is in compliance with the compact.

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The court’s decision, he wrote, “merely opens the door for Nebraska to bring its claims against Colorado. Nebraska’s burden to prove those claims is incredibly high and we will vigorously defend Colorado’s full entitlements under the compact.”

Perkins Canal needed because Colorado is harming Nebraska

But Nebraska officials insist water augmentation isn’t doing what it was supposed to do. In its 55-page complaint to the U.S. Supreme Court, Nebraska calls the augmentation system illegal and a violation of the river compact.

“Colorado’s water administration system, including its augmentation plans, have harmed and will continue to harm Nebraska,” the lawsuit reads. “For example, many augmentation projects … allow junior well owners to pump water out of priority during the irrigation season, provided they pump or divert additional water during the non-irrigation season and apply it to recharge ponds. This method assumes that water will percolate back into the water table and make its way to the South Platte River in time to make whole downstream senior users.”

Kent Miller is general manager of the Twin Platte Natural Resources District, which includes most of the South Platte River in Nebraska. He’s said he’s watched the river since 1972 and is skeptical that augmentation even works.

“Those plans have not been working, and I base that on the fact that the Western Irrigation District rarely receives what it’s supposed to receive,” Miller said. 

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In May, U.S. Solicitor General John Sauer filed an amicus brief with the high court recommending that the court allow the suit to go ahead, but with conditions. 

In its lawsuit, Nebraska addresses augmentation because of its complexity and insists that any mechanism Colorado uses to comply with the compact should be simple. In his amicus brief, Sauer recommended tossing the argument.

“Nebraska reads Article VIII (of the compact) as mandating that compliance mechanisms be ‘simple,’ and it alleges that Colorado has violated that requirement,” Sauer wrote. “But Article VIII imposes no such requirement; it merely authorizes Colorado officials to enforce the Compact without action by the Colorado legislature. Because Nebraska’s Article VIII claim is facially meritless, it should not be permitted to proceed further.”

Sauer further recommended disallowing arguments that Colorado is obstructing Nebraska’s efforts to build the canal, saying Nebraska offers no evidence of such obstruction.

In signaling its acceptance of the lawsuit on Monday, the Supreme Court said it wants to hear all of Nebraska’s complaints and let the justices judge for themselves whether parts of it lack merit. Colorado originally had 30 days to respond to the court’s action but, on July 2, requested a 60-day extension.

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Nebraska Rep. Mike Flood faces frustrated constituents at second town hall of year

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Nebraska Rep. Mike Flood faces frustrated constituents at second town hall of year


Some Nebraskans arrived early with signs outside U.S. Rep. Mike Flood’s second town hall of the year, hoping to press the congressman on issues ranging from food assistance to the conflict in the Middle East.

Rhonda Mays said she brought a sign to show Flood what some constituents think and to encourage others heading inside to speak up. “People walking by that plan on going in there need a reminder to speak out, to ask the right question, and don’t just go to listen but to actually challenge the representative,” Mays said.

Flood said Nebraskans are able to treat each other with respect while also having tough conversations.

During the hourlong event, attendees asked about a range of topics, including multiple questions about SNAP benefits. Some Nebraskans said there is a large population facing food insecurity. Flood responded, “I understand your concerns with SNAP I work often with the foodbanks and with Nebraskans that need assistance. I appreciate the question and I will double back with some of my sources when I get a chance this week, but I have not heard anything about that from any of my sources.”

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The crowd became particularly rowdy during discussion of the conflict in the Middle East. Flood said, “We have no greater ally in the middle east than Israel. We have no greater ally than Israel.”

Asked about the outcry after the town hall, Flood reiterated his position, saying, “Isreal was attacked by Hamas; a terrorist organization and horrific things were done to Israelis. At the same time Hezbollah working to do the same on the northern border and then you have the Houthis. Israel has the right to defend itself and we would as well if we were put in that situation.”

Flood holds three town halls a year. It was not known where his third town hall will be.

The town hall was held in Bellevue.



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