Nebraska Physician Assistant Malpractice Insurance
A physician assistant (PA) in Nebraska is licensed by DHHS on the Board of Medicine and Surgery's recommendation and practices under a supervising physician who is party to a collaborative agreement with you (Neb. Rev. Stat. 38-2050). Since July 18, 2026, LB 912 removed the statute on physician liability for PAs. Quote online from Omaha, Lincoln or Bellevue and get same-day proof.
Why Nebraska PAs Need Their Own Policy
LB 912 (2026) outright repealed section 38-2053, eliminating the PA-specific physician liability provision, so your own policy matters more. Nebraska's Hospital-Medical Liability Act caps cover physicians, CRNAs and hospitals that qualify, not PAs by name (44-2803). Seeing Iowa, Kansas or South Dakota patients by video? Nebraska is a PA Licensure Compact member.
How much does malpractice insurance for Physician Assistants cost in Nebraska?
Costs are based on specialties as well as full vs part- time hours:
Average $1M/$3M Coverage Premium - Part Time (less than 24 hours/week):
$1,012 - P1 (lower-risk outpatient specialties like family practice or dermatology)
$1,317 - P2 (hospital ER, urgent care, OR work under 10 hours/week)
$1,611 - P3 (surgical or OB/GYN without L&D, trauma, pain management)
Average $1M/$3M Coverage Premium - Full Time (greater than 24 hours/week):
$1,523 - P1 (lower-risk outpatient specialties like family practice or dermatology)
$1,988 - P2 (hospital ER, urgent care, OR work under 10 hours/week)
$2,426 - P3 (surgical or OB/GYN without L&D, trauma, pain management)
Sample rates only. Premium will be underwritten for your exact situation when using our Instant Online Quote portal.
Physician Assistant Insurance cost varies depending on:
* Scope of services provided
* Claims-made vs. occurrence form
* Policy limits (standard limits are $1/$3M, but $100k/$300k, $250k/$500k, $500k/$1M and $2M/$4M limits available
* Prior claims history
**Note:** Rates will be underwritten for your exact situation.
Nebraska PA Practice Rules
Coverage rule: Nebraska's PA law (Neb. Rev. Stat. 38-2046 to 38-2056) sets no malpractice insurance requirement; Omaha, Lincoln and Bellevue contracts usually ask for $1M/$3M. Damages: qualified providers' liability is limited to $800,000 and total recovery to $2.25M (44-2825); PAs aren't listed providers. Deadline: 2 years, 10-year repose (44-2828).
Your supervising physician keeps the collaborative agreement at the primary site and every site where you practice, and shows it to the Board or DHHS on request (Neb. Rev. Stat. 38-2050(2)). Supervision is continuous but needn't be in person, remote sites are allowed, and a physician may supervise up to four PAs unless waived.
Nebraska Physician Assistant (PA) FAQs
Do I need my own malpractice policy as a PA in Nebraska?
No statute requires it. In Nebraska, since July 18, 2026, LB 912 has removed the statute on physician liability for PAs (former 38-2053), and PAs aren't health care providers under the Hospital-Medical Liability Act (44-2803). Employers usually require $1M per claim and $3M aggregate.
$1M/$3M is the usual contract minimum in Nebraska. Physicians and hospitals that qualify under the Hospital-Medical Liability Act must carry $800,000 per occurrence and $3M aggregate (Neb. Rev. Stat. 44-2824); you may want limits that match theirs.
What malpractice limits should a Nebraska PA carry?
How much does malpractice insurance for Physician Assistants cost in Nebraska?
Premiums for PAs in Nebraska may begin around $972 per year at the $100,000/$300,000 level. Full-time coverage at the standard $1M/$3M level often averages $1523 for P1 (lower-risk outpatient specialties such as family practice or dermatology), $1988 for P2 (hospital ER, urgent care, OR work under 10 hours/week), and $2426 for P3 (surgical or OB/GYN without L and D, trauma, pain management). If practicing part-time in Nebraska, premiums are commonly about $1012 for P1, $1317 for P2, and $1611 for P3. Actual rates depend on your specialty focus, practice hours, procedures performed, and any prior claims.
Am I covered under my supervising physician's policy as a Nebraska PA?
Only for that job. A Nebraska group or hospital policy covers you while you work there, often with limits shared across every clinician, and it ends when you leave. A personal policy fills the gaps.
Your legal defense plus any settlement or judgment, up to your limits, when a Nebraska patient claims your care caused harm. Individual policies usually add board complaint defense too.
What is included in malpractice insurance for a Nebraska PA?
Can a Nebraska PA work without a supervising or collaborating physician?
No. A Nebraska PA needs a supervising physician and a collaborative agreement that the physician keeps at the primary site and every site where you practice (Neb. Rev. Stat. 38-2050(2)). Supervision is continuous but need not be in person, remote sites are allowed, and a physician may supervise up to 4 PAs unless the Board grants a waiver.
Yes, in Nebraska. Under a collaborative agreement you may prescribe drugs and devices; for Schedules II to V you need a DEA registration. You may also dispense and sign for drug samples (Neb. Rev. Stat. 38-2055).
Can physician assistants in Nebraska prescribe opioids and other controlled drugs?
How long does a patient have to sue a PA for malpractice in Nebraska?
Generally 2 years from the act, or 1 year from discovery if it couldn't reasonably be found sooner, and never more than 10 years in Nebraska (Neb. Rev. Stat. 44-2828). Ask counsel how this applies to a PA who isn't a qualified provider.
Do Nebraska PAs get coverage from a state malpractice fund?
Nebraska's Excess Liability Fund pays above $800,000 for qualified health care providers, up to a $2.25M total for occurrences after 2014 (Neb. Rev. Stat. 44-2825). The Act lists physicians, CRNAs, hospitals and entities providing their services, not PAs (44-2803), so don't assume it covers you.
Do Nebraska's damages cap and Excess Liability Fund protect PAs?
Not by name in Nebraska. Qualification is for health care providers, defined as physicians, CRNAs, hospitals and entities providing physician or CRNA services (Neb. Rev. Stat. 44-2803), which must file $800,000/$3M proof and pay the surcharge (44-2824). Ask your carrier and carry limits that stand on their own.
Does a Nebraska PA need tail coverage after leaving a job?
It depends on the policy form. Claims-made coverage stops covering past care when it ends unless tail or prior acts is bought; occurrence coverage needs no tail. In Nebraska, claims are due 2 years from the act or 1 year from discovery, with a 10-year repose (Neb. Rev. Stat. 44-2828).
Should a PA in Nebraska buy claims-made or occurrence coverage?
Occurrence covers each year's incidents permanently in Nebraska. Claims-made costs less at first but needs tail. With a 10-year repose (Neb. Rev. Stat. 44-2828), tail or prior-acts cover matters when you change jobs.
Is malpractice insurance cheaper for new graduate PAs in Nebraska?
Often, yes. Many carriers price new graduates lower and step rates up over a few years. A Nebraska PA starting out should compare that to the employer's plan and its tail terms.
Am I covered for telemedicine as a PA in Nebraska?
It should. A PA holding a compact privilege may practice in Nebraska under the PA Licensure Compact (Neb. Rev. Stat. 38-2051), but you need a license or privilege in each patient's state. List telehealth and every state on your policy.
Does PA malpractice coverage in Nebraska include board complaint defense?
Yes, if your policy includes it. A complaint to the Nebraska Board of Medicine and Surgery can threaten your license with no lawsuit at all. Employer policies often skip this, a common reason Nebraska PAs buy their own.
What happens if a Nebraska PA practices without malpractice insurance?
No statute forbids it, but employers won't credential you in Nebraska. With the PA physician-liability statute repealed in 2026 and no Fund protection for PAs by name, an uninsured judgment could reach your own assets.
Are PA malpractice payments in Nebraska reported to the board and the NPDB?
Payments made for you go to the NPDB in Nebraska. Claims against qualified providers go to a medical review panel first unless the claimant waives it (Neb. Rev. Stat. 44-2840). Tell your carrier as soon as you're named.
Can I get same-day proof of malpractice insurance as a Nebraska PA?
Often the same day. Start with an instant online quote for Nebraska PA coverage, and proof of insurance usually follows soon after you apply and pay. Questions: 480-385-7372.
What did Nebraska's LB 912 change for PA liability?
LB 912 (2026) outright repealed section 38-2053 to eliminate provisions on physician liability for a physician assistant, operative July 18, 2026 in Nebraska (LB 912, §39). Review your coverage: your employer's or physician's policy may no longer be the main source of protection.
Yes, if you treat patients in Iowa, including Council Bluffs. Iowa licenses PAs separately, and Nebraska's Hospital-Medical Liability Act doesn't apply to care outside Nebraska, so list Iowa on your policy.
Do Omaha PAs who work in Iowa need malpractice coverage there?
Get Covered in Nebraska
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Helpful Links:
- Physician assistant (PA) insurance guide
- PA malpractice insurance cost by state
- Instant PA insurance quotes
- Am I covered under my supervising physician's policy?
- Tail coverage for physician assistants
- Claims-made vs occurrence for PAs
- Iowa PA malpractice insurance
- Kansas PA malpractice insurance
- South Dakota PA malpractice insurance
Nebraska sources:
- Nebraska DHHS: physician assistant licensing
- Neb. Rev. Stat. 38-2050 (supervision, collaborative agreement)
- Neb. Rev. Stat. 38-2047 (services)
- Neb. Rev. Stat. 38-2055 (prescribing)
- LB 912 (2026), repeal of 38-2053
- Neb. Rev. Stat. 44-2803 (provider definition)
- Neb. Rev. Stat. 44-2825 (caps, Excess Liability Fund)
- Neb. Rev. Stat. 44-2828 (deadlines)