PREPARED BY: Mikayla Findlay LB 154 DATE PREPARED: January 27, 2025 PHONE: 402-471-0062 Revision: 00 FISCAL NOTE LEGISLATIVE FISCAL ANALYST ESTIMATE ESTIMATE OF FISCAL IMPACT – STATE AGENCIES (See narrative for political subdivision estimates) FY 2025-26 FY 2026-27 EXPENDITURES REVENUE EXPENDITURES REVENUE GENERAL FUNDS CASH FUNDS FEDERAL FUNDS OTHER FUNDS TOTAL FUNDS Any Fiscal Notes received from state agencies and political subdivisions are attached f ollowing the Legislative Fiscal Analyst Estimate. This bill amends the Hearing Instrument Specialists Practice Act. The changes in the bill may necessitate database changes resulting in minimal fiscal impact. ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE LB: 154 AM: AGENCY/POLT. SUB: Nebraska Dept of Health & Human Services REVIEWED BY: Ann Linneman DATE: 1 -28-2025 PHONE: (402) 471-4180 COMMENTS: Concur with the Nebraska Department of Health & Human Services assessment of no fiscal impact. LB (1) 154 FISCAL NOTE 2025 ESTIMATE PROVIDED BY STATE AGENCY OR POLITICAL SUBDIVISION State Agency or Political Subdivision Name:(2) Department of Health and Human Services Prepared by: (3) John Meals Date Prepared 1-21-2025 Phone: (5) 471-6719 FY 2025-2026 FY 2026-2027 EXPENDITURES REVENUE EXPENDITURES REVENUE GENERAL FUNDS CASH FUNDS FEDERAL FUNDS OTHER FUNDS TOTAL FUNDS $0 $0 $0 $0 Return by date specified or 72 hours prior to public hearing, whichever is earlier. Explanation of Estimate: LB154 proposes to modify the existing Hearing Instrument Specialists Practice Act by expanding the scope of practice for a licensed Hearing Instrument Specialist. This may result in additional cost to facilitate database changes that the licensure database vendor will need to make. The additional costs may be covered by the monthly subscription fees paid to the vendor to maintain the system, or there could be additional programming costs, depending on the extent of the changes that are needed. MAJOR OBJECTS OF EXPENDITURE PERSONAL SERVICES: NUMBER OF POSITIONS 2025-2026 2026-2027 POSITION TITLE 25-26 26-27 EXPENDITURES EXPENDITURES Benefits............................................................................................................................... Operating............................................................................................................................ Travel.................................................................................................................................. Capital Outlay..................................................................................................................... Aid...................................................................................................................................... Capital Improvements......................................................................................................... TOTAL............................................................................................................ $0 $0