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Nebraska

Nebraska

State Facts

71

Deaths or 49.7% of all overdose deaths in the year ending April 2024 involved opioids.¹

Over 360,000

Claims or 3.5% of all Medicare Part D claims were for opioids in 2023 – an average of 43 per prescriber.²

42.7

Opioid Prescriptions were written for every 100 persons in Nebraska in 2023.³

$12.3 Billion

the estimated total societal cost of opioid use disorder (OUD) to the state in 2024.⁴

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Opioid Settlement Funds

$181,151,192.40
State Spending Recommendation

Nebraska’s Opioid Settlement State Plan Overview highlights opioid abatement strategy areas and gaps, with proposals including integrated care development in rural communities, expansion of in-home visit programming for new and expectant mothers, building or developing treatment programs, and establishing rapid access behavioral health and substance use centers.

Member & Endorser Footprint

Voices is backed by a broad coalition of organizations across the state united by a shared goal: ensuring patients have access to safe, effective, 
and individualized pain management throughout the continuum of care.

Co-Sponsors (119th)

Sen. Deb Fischer (R-NE)

Sen. Deb Fischer (R-NE)

Sen. Pete Ricketts (R-NE)

Sen. Pete Ricketts (R-NE)

2025 Introduced Relevant Legislation

LB 252

This legislation prohibits stricter coverage restrictions, higher cost-sharing, or formulary disadvantages for non-opioids compared to opioids, mandating immediate coverage for newly FDA-approved non-opioid drugs.

Introduced
03/17/2025
Plan Impact
Medicaid & Commercial
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LR 219

This resolution proposes an interim study to examine access, effectiveness, and potential cost savings of non-opioid pain treatments within Medicaid, as well as evaluate initiatives and risks related to opioid use.

Introduced
05/15/2025
Learn More

Voices Letters

LB 252 Letter of Support

Learn More

1. Centers for Disease Control and Prevention (2025). Provisional Drug Overdose Death Counts. https://www.cdc.gov/nchs/nvss/vsrr/drug-overdose-data.htm

2. Centers for Disease Control and Prevention (2025). Medicare Part D Opioid Prescribing Mapping Tool. https://storymaps.arcgis.com/stories/f1051d23738c4980a08002bf301f7d8a

3. Centers for Disease Control and Prevention (2025). Opioid Dispensing Rate Maps. https://www.cdc.gov/overdose-prevention/data-research/facts-stats/opioid-dispensing-rate-maps.html

4. Avalere Health (2025). The cost of addiction: Opioid use disorder in the United States. https://advisory.avalerehealth.com/wp-content/uploads/2025/05/Avalere-Health-White-Paper_The-cost-of-opioid-addiction_OUD-in-the-United-States.pdf