PREPARED BY: Mikayla Findlay
LB 310 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 $67,462 $78,852
CASH FUNDS
FEDERAL FUNDS
OTHER FUNDS
TOTAL FUNDS $67,462 $78,852
Any Fiscal Notes received from state agencies and political subdivisions are attached f ollowing the Legislative Fiscal Analyst Estimate.
This bill would permit exception to newborn screenings for inherited or congenital infant or childhood-onset diseases.
The Department of Health and Human Services (DHHS) would need to update various materials and create processes for
administrative tracking of refusals. In order to perform the additional work requirements including verification of refusals, DHHS would
need one additional FTE Community Health educat or. The additional staff would necessitate $67,462 in FY26 and $78,852 in FY27.
The operational personnel expenditures would only be needed in the first year to purchase equipment including a computer however
operational expenditures in subsequent years such as rent for one additional staff person can be absorbed by the agency.
For similar proposed legislation, LB 1060 (2024), DHHS also acknowl edged that unscreened newborns may lead to increased expenditures in programs including Developmental Disabilities, Medicaid, CHIP, and Economic Assistance. Child Welfare and
Behavioral Health may incur expenses as well. All of these potential increases in aid expenditures are indeterminable.
ADMINISTRATIVE SERVICES STATE BUDGET DIVISION: REVIEW OF AGENCY & POLT. SUB. RESPONSE
LB: 310 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 fiscal impact.
LB (1) 310 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 1-27-25 Phone: (5) 471-6719
FY 2025-2026 FY 2026-2027
EXPENDITURES REVENUE EXPENDITURES REVENUE
GENERAL FUNDS $67,462 $94,447
CASH FUNDS
FEDERAL FUNDS
OTHER FUNDS
TOTAL FUNDS $67,462 $0 $94,447 $0
Return by date specified or 72 hours prior to public hearing, whichever is earlier.
Explanation of Estimate:
LB310 provides exemptions to Nebraska’s mandatory newborn screening if a parent or guardian objects.
The proposed bill does not require caregivers to submit or sign a written refusal form. T he Department of Health
and Human Services (DHHS) would not be able to enforce this legislation without a written record that verifies
compliance with other state statutes.
If LB310 were amended to require a refusal form submitted to DHHS for enforcement purposes , this would put
an additional step for verification on compliance. Staff would have to conduct a three- way match between
datasets to ensure every birth is accounted for with either a newborn screen or a refusal form. After completing
the matching process, if no newborn screen or refusal form is found, then staff would need to reach out to the
birthing hospital, or in the case of births occurring outside of a hospital, the caregiver would need to confirm
whether they intended to refuse the screening.
Independent from a potential refusal form and any corresponding additional steps, DHHS would still require an
additional FTE Community Health Educator to update regulations and education, provide outreach to facilities,
educate providers, and enable programmatic changes. The cost of this FTE is $67,462 in fiscal year 2026 and
$94,447 in fiscal year 2027.
MAJOR OBJECTS OF EXPENDITURE
PERSONAL SERVICES:
NUMBER OF POSITIONS 2025-2026 2026-2027
POSITION TITLE 25-26 26-27 EXPENDITURES EXPENDITURES
Community Health Educator/Senior (H11522)
1 1 $41,721 $58,409
Benefits...............................................................................................................................
$14,602 $20,443
Operating............................................................................................................................
$11,139 $15,595
Travel..................................................................................................................................
Capital Outlay.....................................................................................................................
Aid......................................................................................................................................
Capital Improvements.........................................................................................................
TOTAL............................................................................................................
$67,462 $94,447